Chest Compression Quality Over Time in Pediatric Resuscitations

Abstract

CC quality deteriorates similarly in child and adult manikin models. Peak work per compression cycle is comparable in both. Peak power output is analogous to that generated during intense exercise such as running. CC providers should switch every 2 minutes as recommended by current guidelines.

Rescuer fatigue during simulated neonatal cardiopulmonary resuscitation

“…Therefore, current pediatric resuscitation guidelines suggest that professionals should be switched every 2 min while performing CC. 16 Badaki-Makun et al 11 reported similar rates of fatigue in adult and child CPR, with a decrease in CC depth after 42 min of CPR. In comparison, two studies examined the rate of fatigue within 2 min of CPR in pediatric and neonatal healthcare professionals and reported no significant decay in CC, which is comparable to our results.…”

“…14,15 Peak power output generated during pediatric resuscitation is comparable to power generated during intense exercise (for example, running 9 km h − 1 ). 11 In addition, peak work per compression cycle and deterioration of CC quality is comparable between adult and pediatric resuscitation. 11 The depth of CC can be translated into compression force, which is related to changes in intrathoracic pressure.…”

“…11 In addition, peak work per compression cycle and deterioration of CC quality is comparable between adult and pediatric resuscitation. 11 The depth of CC can be translated into compression force, which is related to changes in intrathoracic pressure. 22 Manikin studies demonstrated that adequate CC depths are infrequently achieved, implying that CC depth should be emphasized more during CPR training and real-life resuscitations.…”

“…Several studies of simulated adult and pediatric CPR reported an impact of fatigue on quality of CC; [10][11][12][13]20,21 however, the evidence in newborn infants is limited. 14,15 Peak power output generated during pediatric resuscitation is comparable to power generated during intense exercise (for example, running 9 km h − 1 ).…”

“…9 Several studies assessed the quality of CC depth and reported alarmingly low adequacy; however, in the majority of studies they were within normal resuscitation guideline limits. [10][11][12][13][14][15] In a study of in-hospital rescuers, CC quality deteriorates similarly in child and adult manikin models with comparable peak work per compression cycle, although peak power output was more intense and significantly higher in the adult model. 11 This has led to changes in current adult and pediatric resuscitation guidelines suggesting that healthcare professionals should switch every 2 min during pediatric or adult CPR.…”