BACKGROUND: The immediate initiation and high quality of @entity402 ( @entity402 ) are pivotal to improving @entity1 outcome after @entity1167 . Although cardiorespiratory monitoring could shorten the time to recognize the onset of @entity1167 , little is known about how monitoring and the misinterpretation of monitor readings could impair the initiation of @entity402 . In this study, we assessed the speed of initiation and quality of @entity402 in simulated monitored and nonmonitored pediatric @entity1167 . METHODS: Sixty residents frequently involved in the care of critically ill @entity1 were randomly assigned to either the intervention (monitoring) group or the control (nonmonitoring) group. @entity1 of both groups performed @entity402 in 1 of 2 clinically identical, unwitnessed simulated @entity1167 scenarios. Although in 1 scenario cardiorespiratory monitoring (i.e., electrocardiogram) was attached, the other scenario reflected a nonmonitored @entity1167 . Time to first chest compression was chosen as the primary outcome variable. Adherence to resuscitation guidelines and subjective performance ratings were secondary outcome variables. RESULTS: @entity1 in the monitoring group initiated chest compressions significantly later than those in the nonmonitoring group (91    36 vs 71  26 seconds, hazard ratio, 0.26; 95% confidence interval, 0.14-0.49, P < 0.001). Six members of the monitoring group did not start chest compression within 5 minutes. Furthermore, adherence to the guidelines was better in the nonmonitoring group. @entity1 who were previously involved in @entity402 training did not show better performance. CONCLUSIONS: The presence of cardiorespiratory monitoring significantly delayed or even prevented the initiation of chest compressions and impaired the quality of @entity402 in simulated pediatric @entity1167 . Based on these data, specific training should be conducted for exposed personnel.

The Impact of Monitoring on the Initiation of Cardiopulmonary Resuscitation in XXXX : Friend or Foe?

@entity402 :: ('MESH:C564133', 'Disease') :: ['BLS', 'basic life support'] @entity1 :: ('9606', 'Species') :: ['children', 'patient', 'Participants'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiac arrest']
@entity1 :: (9606,Species) :: ['Children']
