Resuscitation
Volume 80, Issue 5 , Pages 540-545 , May 2009

Effect of mattress deflection on CPR quality assessment for older children and adolescents

  • Akira Nishisaki

      Affiliations

    • Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia (CHOP), USA
    • Center for Simulation, Advanced Education and Innovation, CHOP, USA
    • Corresponding Author InformationCorresponding author at: Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia (CHOP), 34th Street and Civic Center Blvd., Philadelphia, PA 19104, USA. Tel.: +1 215 590 5505; fax: +1 215 590 4327.
    • ,
  • Jon Nysaether

      Affiliations

    • Laerdal Medical Cooperation, Stavanger, Norway
    • ,
  • Robert Sutton

      Affiliations

    • Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia (CHOP), USA
    • University of Pennsylvania School of Medicine, USA
    • ,
  • Matthew Maltese

      Affiliations

    • Center for Injury Research and Prevention, CHOP, USA
    • ,
  • Dana Niles

      Affiliations

    • Center for Simulation, Advanced Education and Innovation, CHOP, USA
    • ,
  • Aaron Donoghue

      Affiliations

    • Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia (CHOP), USA
    • Center for Simulation, Advanced Education and Innovation, CHOP, USA
    • Department of Pediatrics, CHOP, USA
    • ,
  • Ram Bishnoi

      Affiliations

    • Center for Simulation, Advanced Education and Innovation, CHOP, USA
    • ,
  • Mark Helfaer

      Affiliations

    • Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia (CHOP), USA
    • University of Pennsylvania School of Medicine, USA
    • ,
  • Gavin D. Perkins

      Affiliations

    • University of Warwick Medical School, Warwick, UK
    • ,
  • Robert Berg

      Affiliations

    • Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia (CHOP), USA
    • University of Pennsylvania School of Medicine, USA
    • ,
  • Kristy Arbogast

      Affiliations

    • University of Pennsylvania School of Medicine, USA
    • Center for Injury Research and Prevention, CHOP, USA
    • ,
  • Vinay Nadkarni

      Affiliations

    • Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia (CHOP), USA
    • University of Pennsylvania School of Medicine, USA
    • Center for Simulation, Advanced Education and Innovation, CHOP, USA

Received 17 September 2008 ,Revised 18 December 2008 ,Accepted 9 February 2009.

References 

  1. 2005 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Part 4: Adult Basic Life Support. Circulation 2005;112: IV-19–34.
  2. Abella BS, Sandbo N, Vassilatos P, et al. Chest compression rates during cardiopulmonary resuscitation are suboptimal: a prospective study during in-hospital cardiac arrest. Circulation. 2005;111:428–434
  3. Abella BS, Alvarado JP, Myklebust H, et al. Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. JAMA. 2005;293:305–310
  4. Wik L, Kramer-Johansen J, Myklebust H, et al. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA. 2005;293:363–365
  5. Edelson DP, Abella BS, Kramer-Johansen J, et al. Effects of compression depth and pre-shock pauses predict defibrillation failure during cardiac arrest. Resuscitation. 2006;71:137–145
  6. Kramer-Johansen J, Myklebust H, Wik L, et al. Quality of out-of-hospital cardiopulmonary resuscitation with real time automated feedback: a prospective interventional study. Resuscitation. 2006;71:283–292
  7. Abella BS, Edelson DP, Kim S, et al. CPR quality improvement during in-hospital cardiac arrest using a real-time audiovisual feedback system. Resuscitation. 2007;73:54–56
  8. Sutton RM, Niles D, Nysaether J, et al. Quantitative analysis of CPR quality during in-hospital resuscitation of older children and adolescent. Pediatrics; in press.
  9. Arbogast K, Maltese M, Nadkarni V, Steen P, Nysaether J. Anterior–posterior force deflection characteristics measured during cardiopulmonary resuscitation: comparison to post-mortem human subject data. Stapp Car Crash J. 2006;50:131–145
  10. Aase SO, Myklebust H. Compression depth estimation for CPR quality assessment using DSP on accelerometer signals. IEEE Trans Biomed Eng. 2002;49:263–268
  11. Maltese MR, Castner T, Niles D, et al. Method for determining pediatric thoracic force–deflection characteristics from cardiopulmonary resuscitation. Stapp Car Crash J. 2008;52:83–106
  12. Niles D, Sutton R, Donoghue A, et al. Rolling Refreshers: A novel approach to maintain CPR psychomotor skill competence. Pediatr Crit Care Med. 2007;8:A243
  13. Reynolds HM, Young JW, McConville JT, Snyder RG. Development and evaluation of the masterbody forms for three-year old and six-year old child dummies. Ann Arbor, MI: University of Michigan; 1976;[DOT HS-801 811]
  14. Irwin A, Mertz HJ. Biomechanical basis for the CRABI and hybrid III child dummies. In: Proceedings of the 41st stapp car crash conference. Warrendale, PA: Society of Automotive Engineers; 1997;p. 261–272
  15. http://www.bgind.com/predm.html [access verified on 09.08.2008].
  16. http://www.hill-rom.com/usa/AcuCair/Docs/W6167-197_Acucair_Brochure.pdf [access verified on 09.08.2008].
  17. http://www.kci1.com/336.asp [access verified on 09.08.2008].
  18. Babbs CF, Voorhees WD, Fitzgerald KR, Holmes HR, Geddes LA. Relationship of blood pressure and flow during CPR to chest compression amplitude: evidence for an effective compression threshold. Ann Emerg Med. 1983;12:527–532
  19. Perkins GD, Smith S, McCulloch R, Davies R. Compression feedback devices may under-estimate chest compression depth when performed on a bed. Resuscitation; in press.
  20. Andersen LØ, Isbye DL, Rasmussen LS. Increasing compression depth during manikin CPR using a simple backboard. Acta Anaesthesiol Scand. 2007;51:747–750
  21. Perkins GD, Smith CM, Augre C, et al. Effects of a backboard, bed height, and operator position on compression depth during simulated resuscitation. Intensive Care Med. 2006;32:1632–1635
  22. Tweed M, Tweed C, Perkins GD. The effect of differing support surfaces on the efficacy of chest compressions using a resuscitation manikin model. Resuscitation. 2001;51:179–183
  23. Perkins GD, Benny R, Giles S, Gao F, Tweed MJ. Do different mattresses affect the quality of cardiopulmonary resuscitation?. Intensive Care Med. 2003;29:2330–2335
  24. Bankman IN, Gruben AG, Halperin HR, et al. Identification of dynamic mechanical parameters of the chest during manual cardiopulmonary resuscitation. IEEE Trans Biomed Eng. 1990;37:211–217

☆ A Spanish translated version of the summary of this article appears as Appendix in the online version at doi:10.1016/j.resuscitation.2009.02.006.

PII: S0300-9572(09)00101-4

doi: 10.1016/j.resuscitation.2009.02.006

Resuscitation
Volume 80, Issue 5 , Pages 540-545 , May 2009

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