Subtopic Deep Dive

← Family and Patient Care in Intensive Care Units

Family Presence During Resuscitation
Research Guide

What is Family Presence During Resuscitation?

Family Presence During Resuscitation (FPDR) refers to the practice of allowing family members to remain at the bedside during cardiopulmonary resuscitation (CPR) attempts in intensive care units.

Davidson et al. (2007) developed clinical practice guidelines recommending FPDR as part of patient-centered ICU care (1453 citations). Studies examine family satisfaction, clinician attitudes, and psychological outcomes post-resuscitation. Over 20 papers address FPDR protocols and impacts within ICU family support literature.

Curated Papers

Key Challenges

Why It Matters

FPDR influences ICU policies by balancing family involvement with resuscitation efficacy, as guidelines from Davidson et al. (2007) shaped American College of Critical Care Medicine recommendations. Gries et al. (2009) identified predictors of posttraumatic stress in families after ICU deaths, highlighting FPDR's role in reducing long-term grief (327 citations). During COVID-19, Hart et al. (2020) adapted family-centered care, including restricted presence during codes, affecting end-of-life satisfaction (357 citations). These practices impact training worldwide and family psychological health.

Key Research Challenges

Clinician Attitude Barriers

Clinicians often oppose FPDR due to fears of interference or emotional distress. Davidson et al. (2007) guidelines note resistance despite evidence of no harm to resuscitation success. Surveys show training gaps persist.

Family Psychological Risks

Families risk posttraumatic stress from witnessing failed CPR. Gries et al. (2009) linked ICU death witnessing to higher PTSD symptoms in survivors. Support protocols remain inconsistent.

Policy Implementation Gaps

Lack of standardized FPDR protocols varies by ICU. Bossaert et al. (2015) resuscitation guidelines indirectly support family roles but lack specifics (622 citations). Adoption lags behind evidence.

Essential Papers

Weaning from mechanical ventilation

J-M. Boles, Julian Bion, Alfred F. Connors et al. · 2007 · European Respiratory Journal · 2.0K citations

Weaning covers the entire process of liberating the patient from mechanical support and from the endotracheal tube. Many controversial questions remain concerning the best methods for conducting th...

Clinical practice guidelines for support of the family in the patient-centered intensive care unit: American College of Critical Care Medicine Task Force 2004–2005

Judy E. Davidson, Karen S. Powers, Kamyar M. Hedayat et al. · 2007 · Critical Care Medicine · 1.5K citations

To develop clinical practice guidelines for the support of the patient and family in the adult, pediatric, or neonatal patient-centered ICU.A multidisciplinary task force of experts in critical car...

A Comparison of Vasopressin and Epinephrine for Out-of-Hospital Cardiopulmonary Resuscitation

Volker Wenzel, Anette C. Krismer, H.-R. Arntz et al. · 2004 · New England Journal of Medicine · 645 citations

The effects of vasopressin were similar to those of epinephrine in the management of ventricular fibrillation and pulseless electrical activity, but vasopressin was superior to epinephrine in patie...

Grief During the COVID-19 Pandemic: Considerations for Palliative Care Providers

Cara Wallace, Stephanie P. Wladkowski, Allison Gibson et al. · 2020 · Journal of Pain and Symptom Management · 625 citations

European Resuscitation Council Guidelines for Resuscitation 2015

Leo Bossaert, Gavin D. Perkins, Helen Askitopoulou et al. · 2015 · Resuscitation · 622 citations

Post‐intensive care syndrome: its pathophysiology, prevention, and future directions

Shigeaki Inoue, Junji Hatakeyama, Yutaka Kondo et al. · 2019 · Acute Medicine & Surgery · 567 citations

Expanding elderly populations are a major social challenge in advanced countries worldwide and have led to a rapid increase in the number of elderly patients in intensive care units ( ICU s). Innov...

Family-Centered Care During the COVID-19 Era

Joanna L. Hart, Alison E. Turnbull, Ian Mandeville Oppenheim et al. · 2020 · Journal of Pain and Symptom Management · 357 citations

Reading Guide

Foundational Papers

Start with Davidson et al. (2007) for core FPDR guidelines (1453 citations), then Gries et al. (2009) for psychological risks (327 citations); these establish evidence base.

Recent Advances

Hart et al. (2020) on COVID family care adaptations (357 citations); Inoue et al. (2019) post-ICU syndrome context (567 citations).

Core Methods

Multidisciplinary task force guidelines (Davidson 2007); prospective surveys and regression for PTSD predictors (Gries 2009); consensus resuscitation protocols (Bossaert 2015).

How PapersFlow Helps You Research Family Presence During Resuscitation

Discover & Search

Research Agent uses searchPapers and citationGraph on 'Davidson et al. 2007 family presence resuscitation' to map 1453-cited guidelines and connected FPDR studies like Gries et al. (2009). exaSearch uncovers policy debates; findSimilarPapers expands to COVID adaptations by Hart et al. (2020).

Analyze & Verify

Analysis Agent applies readPaperContent to extract FPDR recommendations from Davidson et al. (2007), then verifyResponse with CoVe checks PTSD claims against Gries et al. (2009). runPythonAnalysis performs GRADE grading on outcomes data; statistical verification meta-analyzes family satisfaction rates across studies.

Synthesize & Write

Synthesis Agent detects gaps in FPDR training via contradiction flagging between clinician attitudes and guidelines. Writing Agent uses latexEditText, latexSyncCitations for Davidson et al., and latexCompile to generate policy review papers; exportMermaid visualizes attitude-outcome flows.

Use Cases

"Meta-analyze PTSD rates in families witnessing ICU CPR from provided studies."

Research Agent → searchPapers → Analysis Agent → runPythonAnalysis (pandas meta-analysis on Gries et al. 2009 data) → GRADE grading → CSV export of effect sizes.

"Draft ICU FPDR policy document citing Davidson guidelines."

Synthesis Agent → gap detection → Writing Agent → latexEditText → latexSyncCitations (Davidson 2007) → latexCompile → PDF policy template.

"Find analysis code for resuscitation family presence surveys."

Research Agent → paperExtractUrls (Gries 2009) → paperFindGithubRepo → githubRepoInspect → runPythonAnalysis sandbox import.

Automated Workflows

Deep Research workflow conducts systematic review: searchPapers (FPDR ICU) → citationGraph → DeepScan 7-steps analyzes Davidson et al. (2007) with CoVe checkpoints → structured report on outcomes. Theorizer generates FPDR policy theories from Gries et al. (2009) PTSD predictors chained to Hart et al. (2020) adaptations.

Try Doxa for Family Presence During Resuscitation Research

Frequently Asked Questions

What is Family Presence During Resuscitation?

FPDR allows family at bedside during CPR in ICUs to support emotional needs without hindering care. Davidson et al. (2007) guidelines endorse it (1453 citations).

What methods study FPDR outcomes?

Surveys of clinician attitudes and family PTSD symptoms post-ICU death. Gries et al. (2009) used multivariate regression on predictors (327 citations).

What are key papers on FPDR?

Davidson et al. (2007) guidelines (1453 citations); Gries et al. (2009) on family PTSD (327 citations); Bossaert et al. (2015) resuscitation guidelines (622 citations).

What open problems exist in FPDR?

Standardizing protocols amid clinician resistance and measuring long-term family impacts. Gaps in training and COVID-era restrictions noted in Hart et al. (2020).