Resuscitation
Volume 80, Issue 11 , Pages 1259-1263 , November 2009

Quantitative analysis of chest compression interruptions during in-hospital resuscitation of older children and adolescents

  • Robert M. Sutton

      Affiliations

    • The Children's Hospital of Philadelphia, Department of Anesthesiology and Critical Care Medicine, 7th Floor, Central Wing 7C09, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, United States
    • Corresponding Author InformationCorresponding author. Tel.: +1 267 426 7802/610 608 9845; fax: +1 215 590 4327.
  • ,
  • Matthew R. Maltese

      Affiliations

    • The Children's Hospital of Philadelphia, Center for Injury Research and Prevention, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104 United States
  • ,
  • Dana Niles

      Affiliations

    • The Children's Hospital of Philadelphia, Center for Simulation, Advanced Education, and Innovation, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104 United States
  • ,
  • Benjamin French

      Affiliations

    • University of Pennsylvania School of Medicine, Department of Biostatistics and Epidemiology, 423 Guardian Drive, Philadelphia, PA 19104 United States
  • ,
  • Akira Nishisaki

      Affiliations

    • The Children's Hospital of Philadelphia, Department of Anesthesiology and Critical Care Medicine, 7th Floor, Central Wing 7C09, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, United States
  • ,
  • Kristy B. Arbogast

      Affiliations

    • The Children's Hospital of Philadelphia, Center for Injury Research and Prevention, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104 United States
  • ,
  • Aaron Donoghue

      Affiliations

    • The Children's Hospital of Philadelphia, Department of Anesthesiology and Critical Care Medicine, 7th Floor, Central Wing 7C09, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, United States
  • ,
  • Robert A. Berg

      Affiliations

    • The Children's Hospital of Philadelphia, Department of Anesthesiology and Critical Care Medicine, 7th Floor, Central Wing 7C09, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, United States
  • ,
  • Mark A. Helfaer

      Affiliations

    • The Children's Hospital of Philadelphia, Department of Anesthesiology and Critical Care Medicine, 7th Floor, Central Wing 7C09, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, United States
  • ,
  • Vinay Nadkarni

      Affiliations

    • The Children's Hospital of Philadelphia, Department of Anesthesiology and Critical Care Medicine, 7th Floor, Central Wing 7C09, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, United States

Received 22 April 2009 ,Revised 6 July 2009 ,Accepted 2 August 2009.

References 

  1. Abella BS, Alvarado JP, Myklebust H, et al. Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. JAMA. 2005;293:305–310
  2. 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
  3. 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
  4. Sutton RM, Niles D, Nysaether J, et al. Quantitative analysis of CPR quality during in-hospital resuscitation of older children and adolescents. Pediatrics. 2009;[published online July 5, 2009]
  5. Wik L, Kramer-Johansen J, Myklebust H, et al. Quality of cardiopulmonary resuscitation during out-of-hospital cardiac arrest. JAMA. 2005;293:299–304
  6. Handley AJ, Handley SA. Improving CPR performance using an audible feedback system suitable for incorporation into an automated external defibrillator. Resuscitation. 2003;57:57–62
  7. International Liaison Committee on Resuscitation . The International Liaison Committee on Resuscitation (ILCOR) consensus on science with treatment recommendations for pediatric and neonatal patients: pediatric basic and advanced life support. Pediatrics. 2006;117:e955–e977
  8. American Heart Association . 2005 American Heart Association (AHA) guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiovascular care (ECC) of pediatric and neonatal patients: pediatric basic life support. Pediatrics. 2006;117:e989–e1004
  9. Hightower D, Thomas SH, Stone CK, Dunn K, March JA. Decay in quality of closed-chest compressions over time. Ann Emerg Med. 1995;26:300–303
  10. Bjorshol CA, Soreide E, Torsteinbo TH, Lexow K, Nilsen OB, Sunde K. Quality of chest compressions during 10min of single-rescuer basic life support with different compression: ventilation ratios in a manikin model. Resuscitation. 2008;77:95–100
  11. Deschilder K, De Vos R, Stockman W. The effect on quality of chest compressions and exhaustion of a compression—ventilation ratio of 30:2 versus 15:2 during cardiopulmonary resuscitation—a randomized trial. Resuscitation. 2007;74:113–118
  12. Jantti H, Silfvast T, Turpeinen A, Kiviniemi V, Uusaro A. Influence of chest compression rate guidance on the quality of cardiopulmonary resuscitation performed on manikins. Resuscitation. 2009;80:453–457
  13. 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
  14. Aase SO, Eftestol T, Husoy JH, Sunde K, Steen PA. CPR artifact removal from human ECG using optimal multichannel filtering. IEEE Trans Biomed Eng. 2000;47:1440–1449
  15. Aase SO, Myklebust H. Compression depth estimation for CPR quality assessment using DSP on accelerometer signals. IEEE Trans Biomed Eng. 2002;49:263–268
  16. Liang KY, Zeger SL. Longitudinal data analysis using generalized linear models. Biometrika. 1986;73:13–22
  17. 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
  18. Aufderheide TP, Sigurdsson G, Pirrallo RG, et al. Hyperventilation-induced hypotension during cardiopulmonary resuscitation. Circulation. 2004;109:1960–1965
  19. Aufderheide TP, Lurie KG. Death by hyperventilation: a common and life-threatening problem during cardiopulmonary resuscitation. Crit Care Med. 2004;32(9 Suppl.):S345–S351
  20. Edelson DP, Litzinger B, Arora V, et al. Improving in-hospital cardiac arrest process and outcomes with performance debriefing. Arch Intern Med. 2008;168:1063–1069
  21. Van Hoeyweghen RJ, Bossaert LL, Mullie A, et al. Quality and efficiency of bystander CPR Belgian Cerebral Resuscitation Study Group. Resuscitation. 1993;26:47–52
  22. Marn-Pernat A, Weil MH, Tang W, Pernat A, Bisera J. Optimizing timing of ventricular defibrillation. Crit Care Med. 2001;29:2360–2365
  23. Yu T, Weil MH, Tang W, et al. Adverse outcomes of interrupted precordial compression during automated defibrillation. Circulation. 2002;106:368–372
  24. Berg RA, Sanders AB, Kern KB, et al. Adverse hemodynamic effects of interrupting chest compressions for rescue breathing during cardiopulmonary resuscitation for ventricular fibrillation cardiac arrest. Circulation. 2001;104:2465–2470
  25. Zuercher M, Hilwig RW, Nysaether J, et al. Incomplete chest recoil during piglet CPR worsens hemodynamics. Circulation. 2007;116:929
  26. Brennan RT, Braslow A. Skill mastery in cardiopulmonary resuscitation training classes. Am J Emerg Med. 1995;13:505–508
  27. Levine RL, Wayne MA, Miller CC. End-tidal carbon dioxide and outcome of out-of-hospital cardiac arrest. N Engl J Med. 1997;337:301–306
  28. Sanders AB, Kern KB, Otto CW, Milander MM, Ewy GA. End-tidal carbon dioxide monitoring during cardiopulmonary resuscitation A prognostic indicator for survival. JAMA. 1989;262:1347–1351
  29. Kern KB, Ewy GA, Voorhees WD, Babbs CF, Tacker WA. Myocardial perfusion pressure: a predictor of 24-hour survival during prolonged cardiac arrest in dogs. Resuscitation. 1988;16:241–250
  30. Feneley MP, Maier GW, Kern KB, et al. Influence of compression rate on initial success of resuscitation and 24 hour survival after prolonged manual cardiopulmonary resuscitation in dogs. Circulation. 1988;77:240–250
  31. Paradis NA, Martin GB, Rivers EP, et al. Coronary perfusion pressure and the return of spontaneous circulation in human cardiopulmonary resuscitation. JAMA. 1990;263:1106–1113
  32. Dean JM, Koehler RC, Schleien CL, et al. Improved blood flow during prolonged cardiopulmonary resuscitation with 30% duty cycle in infant pigs. Circulation. 1991;84:896–904

 A Spanish translated version of the abstract of this article appears as Appendix in the final online version at doi:10.1016/j.resuscitation.2009.08.009.

PII: S0300-9572(09)00422-5

doi: 10.1016/j.resuscitation.2009.08.009

Resuscitation
Volume 80, Issue 11 , Pages 1259-1263 , November 2009