Journal of the Japanese Society of Intensive Care Medicine
Online ISSN : 1882-966X
Print ISSN : 1340-7988
ISSN-L : 1340-7988
ORIGINAL ARTICLES
Feedback on the adequacy of chest compression depth during infant cardiopulmonary resuscitation using a novel infant manikin model
Sasa KurosawaNaoki ShimizuZeynalov Bakhtiar FakhraddinHirokazu SakaiKatsuyuki MiyasakaSeishiro Marukawa
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2010 Volume 17 Issue 2 Pages 173-177

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Abstract
Objectives: To find out whether the depth of chest compression during infant cardiopulmonary resuscitation reached the target value. Methods: Ten residents in our department who are American Heart Association–Basic Life Support/Pediatric Advanced Life Support (AHA-BLS/PALS) providers performed chest compressions to target depths of 1/3 (33 mm) of anterior-posterior (AP) chest diameter on a specially made infant chest compression measurement simulator. The actual depths of compression delivered was measured. The measurement was repeated after feedback and the results were compared. Results: The actual compression depths before feedback were considered to be insufficient as they were significantly too shallow, 30.0 ± 4.2 mm (91% of the target value). After feedback, compression depths statistically improved to 32.4 ± 1.5 mm (98%) (P = 0.016), and showed smaller compression variations. Conclusions: It was shown that the actual chest compression depths delivered tended to be shallower than the target value when target value of 1/3 was used on infant manikins. Performance improved after feedback. To obtain quality performance during infant cardiopulmonary resuscitation, it is important to give appropriate feedback on the actual depth of chest compression delivered.
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© 2010 The Japanese Society of Intensive Care Medicine
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