Editorial Type:
Article Category: Research Article
 | 
Online Publication Date: Jun 29, 2021

Efficacy of Chest Compressions Performed on Patients in Dental Chairs Versus on the Floor

DDS, PhD,
MD, PhD,
MD, PhD,
DDS, PhD,
DDS,
DDS, PhD,
DDS, PhD, and
DDS, PhD
Page Range: 85 – 89
DOI: 10.2344/anpr-68-01-07
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This study aimed to investigate the characteristics of chest compressions performed in dental chairs (DCs) with 2 different structural support designs and on the floor. This randomized prospective study was conducted to compare the effectiveness of chest compressions (rate and depth) using a feedback device and a manikin reporting system. The mean anterior chest wall motion measurements captured using the feedback device were significantly increased in the DCs than on the floor, whereas the percentage of net chest compression depths ≥5 cm as measured using the manikin reporting system were significantly decreased in the DCs than on the floor. These findings suggest that cardiopulmonary resuscitation performed in a DC without the use of a supporting stool or stiff backboard is not likely to be effective even if a DC design that incorporates a supportive steel column is utilized.

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Copyright: © 2021 by the American Dental Society of Anesthesiology
Figure 1.
Figure 1.

(A) Mean anterior chest wall motion measurements using the feedback device.

*p < .001 (analysis of variance [ANOVA]). (B) The percentage of compressions ≥5 cm using the manikin-reporting system. *p < .001 (ANOVA).


Figure 2.
Figure 2.

Structure of the connecting joints between the seat and backrest of the dental chairs. Red arrows: Two lateral articulating joints in the DC-A and DC-B designs. Green arrow: Single steel supporting column in DC-B design. DC-A: EOM-β (GC Corporation). DC-B: Spaceline EMCIA (Morita Manufacturing Corporation). Abbreviations: DC-A, dental chair A; DC-B, dental chair B; EOM.


Contributor Notes

Address correspondence to Yoshitaka Shimizu, Department of Dental Anesthesiology, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan; yshimizu@hiroshima-u.ac.jp.
Received: Nov 05, 2019
Accepted: Nov 16, 2020