title: Changes in adherence to cardiopulmonary resuscitation guidelines in a single referral center from January 2009 to June 2013 and assessment of factors contributing to the observed changes.
abstract: BACKGROUND
  This retrospective study reviewed compliance to cardiopulmonary resuscitation (CPR) teaching at a small animal referral center from January 2009 to June 2013. CPR training commenced in October 2009. This was a lecture format by European specialists in veterinary anesthesia and analgesia. Teaching was originally based on published guidelines. Changes made to the content of the lectures after publication of the Reassessment Campaign on Veterinary Resuscitation (RECOVER) guidelines in 2012 are discussed.
  
  
  RESULTS
  Data regarding basic life support and monitoring equipment were collected from all cases requiring CPR. A Mann-Kendall test for trend showed a significant increased use of both capnography (P = 0.017) and suction to aid tracheal intubation (P = 0.017) over the period of study. There was a significant increase in capnography use in 2011 (P = 0.046), 2012 (P = 0.002), and 2013 (P = 0.002) compared to 2009 (1/15).
  
  
  CONCLUSIONS
  The sequential increase in capnography use without any change to the number or availability of capnography units provides evidence that CPR teaching has altered clinical practice. The publication of the RECOVER guidelines provided an evidence base upon which to refine and improve teaching of CPR.
authors.affiliation: From Davies Veterinary Specialists, Manor Farm Business Park, Higham Gobion, Hertfordshire, SG5 3HR, UK.
authors.forename: Andrea C
authors.initials: AC
authors.lastname: Holmes
authors.affiliation: From Davies Veterinary Specialists, Manor Farm Business Park, Higham Gobion, Hertfordshire, SG5 3HR, UK.
authors.forename: Louise
authors.initials: L
authors.lastname: Clark
mesh_terms: D000818:Animals; D000831:Animals, Newborn; D019296:Capnography / Q000706:statistics & numerical data / Q000662:veterinary; D016887:Cardiopulmonary Resuscitation / Q000193:education / Q000592:standards / Q000662:veterinary*; D002371:Cat Diseases / Q000628:therapy*; D002415:Cats; D004283:Dog Diseases / Q000628:therapy*; D004285:Dogs; D019983:Guideline Adherence; D006323:Heart Arrest / Q000628:therapy / Q000662:veterinary*; D007442:Intubation, Intratracheal / Q000662:veterinary; D017410:Practice Guidelines as Topic; D012189:Retrospective Studies
keywords: CPR; RECOVER; capnography; training