Resuscitation
Volume 80, Issue 5 , Pages 553-557 , May 2009

Leaning is common during in-hospital pediatric CPR, and decreased with automated corrective feedback

  • Dana Niles

      Affiliations

    • Center for Simulation, Advanced Education and Innovation, The Children's Hospital of Philadelphia, 34th Street and Civic Center Blvd., Philadelphia, PA 19104, United States
    • Corresponding Author InformationCorresponding author at: Center for Simulation, Advanced Education and Innovation, Room 8NW100, Main Building, The Children's Hospital of Philadelphia, 34th Street and Civic Center Blvd, Philadelphia, PA 19104, USA Tel.: +215 590 4039; fax: +215 590 2969.
    • ,
  • Jon Nysaether

      Affiliations

    • Laerdal Medical, Tanke Svilandsgate 30, N-4002, Stavanger, Norway
    • ,
  • Robert Sutton

      Affiliations

    • Department of Anesthesiology, Critical Care and Pediatrics, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, 34th Street and Civic Center Blvd., Philadelphia, PA 19104, United States
    • ,
  • Akira Nishisaki

      Affiliations

    • Department of Anesthesiology, Critical Care and Pediatrics, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, 34th Street and Civic Center Blvd., Philadelphia, PA 19104, United States
    • ,
  • Benjamin S. Abella

      Affiliations

    • Department of Emergency Medicine and Center for Resuscitation Science, University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104, United States
    • ,
  • Kristy Arbogast

      Affiliations

    • The Center for Injury Prevention and Research, The Children's Hospital of Philadelphia, 3535 Market Street, Philadelphia, PA 19104, United States
    • ,
  • Matthew R. Maltese

      Affiliations

    • The Center for Injury Prevention and Research, The Children's Hospital of Philadelphia, 3535 Market Street, Philadelphia, PA 19104, United States
    • ,
  • Robert A. Berg

      Affiliations

    • Department of Anesthesiology, Critical Care and Pediatrics, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, 34th Street and Civic Center Blvd., Philadelphia, PA 19104, United States
    • ,
  • Mark Helfaer

      Affiliations

    • Department of Anesthesiology, Critical Care and Pediatrics, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, 34th Street and Civic Center Blvd., Philadelphia, PA 19104, United States
    • ,
  • Vinay Nadkarni

      Affiliations

    • Center for Simulation, Advanced Education and Innovation, The Children's Hospital of Philadelphia, 34th Street and Civic Center Blvd., Philadelphia, PA 19104, United States
    • Department of Anesthesiology, Critical Care and Pediatrics, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, 34th Street and Civic Center Blvd., Philadelphia, PA 19104, United States

Received 29 July 2008 ,Revised 30 December 2008 ,Accepted 17 February 2009.

References 

  1. Wik L, Kramer-Johansen J, Myklebust H, et al. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA. 2005;293:299–304
  2. Abella BS, Alvarado JP, Myklebust H, et al. Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. JAMA. 2005;293:305–310
  3. Aufderheide TP, Pirrallo RG, Yannopoulos D, et al. Incomplete chest wall decompression: a clinical evaluation of CPR performance by EMS personnel and assessment of alternative manual chest compression-decompression techniques. Resuscitation. 2005;64:353–362
  4. Yannopoulos D, Metzger A, McKnite S, et al. Intrathoracic pressure regulation improves vital organ perfusion pressures in normovolemic and hypovolemic pigs. Resuscitation. 2006;70:445–453
  5. Zuercher M, Hilwig R, Nysaether J, et al. Incomplete Chest Recoil during Piglet CPR Worsens Hemodynamics. Circulation. 2007;116:II_929
  6. Tomlinson AE, Nysaether J, Kramer-Johansen J, Steen PA, Dorph E. Compression force-depth relationship during out-of-hospital cardiopulmonary resuscitation. Resuscitation. 2007;72:364–370
  7. Aase SO, Myklebust H. Compression depth estimation for CPR quality assessment using DSP on accelerometer signals. IEEE Trans Biomed Eng. 2002;49:263–268
  8. 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
  9. Arbogast K, Maltese M, Nadkarni V, Steen P, Nysaether J. Anterior–posterior thoracic force-deflection characteristics measured during cardiopulmonary resuscitation: Comparison to post-mortem human subject data. Stapp Car Crash J. 2006;50:131–145
  10. Maltese MR, Castner T, Niles D, et al. Methods for Determining Pediatric Thoracic Force-Deflection Characteristics from Cardiopulomonary Resuscitation. Stapp Car Crash J. 2008;52:83–106
  11. Yannopoulos D, McKnite S, Aufderheide T, et al. Effects of incomplete chest wall decompression during cardiopulmonary resuscitation on coronary and cerebral perfusion pressures in a porcine model of cardiac arrest. Resuscitation. 2005;64:363–372
  12. American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2005;112:IV-1–V-203
  13. 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
  14. 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;73:54–61

☆ A Spanish translated version of the summary of this article appears as appendix in the final online version at doi:10.1016/j.resuscitation.2009.02.012.

PII: S0300-9572(09)00103-8

doi: 10.1016/j.resuscitation.2009.02.012

Resuscitation
Volume 80, Issue 5 , Pages 553-557 , May 2009

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