Resuscitation
Volume 81, Issue 5 , Pages 544-548 , May 2010

Evaluation of the Neonatal Resuscitation Program's recommended chest compression depth using computerized tomography imaging

  • Andrew Meyer

      Affiliations

    • Children's Hospital of Philadelphia, Department of Neonatology, United States
    • Corresponding Author InformationCorresponding author at: Crozer-Chester Medical Center, Neonatology, One Medical Center Blvd., Upland, PA 19013, United States. Tel.: +1 610 724 8066.
    • ,
  • Vinay Nadkarni

      Affiliations

    • The Children's Hospital of Philadelphia, Department of Anesthesia, Critical Care Medicine, and Pediatrics, University of Pennsylvania School of Medicine, United States
    • ,
  • Avrum Pollock

      Affiliations

    • Children's Hospital of Philadelphia, Department of Radiology, United States
    • ,
  • Charles Babbs

      Affiliations

    • Purdue University, Department of Biomedical Engineering, United States
    • ,
  • Akira Nishisaki

      Affiliations

    • The Children's Hospital of Philadelphia, Department of Anesthesia, Critical Care Medicine, and Pediatrics, University of Pennsylvania School of Medicine, United States
    • Children's Hospital of Philadelphia, Department of Anesthesiology and Critical Care Medicine, United States
    • ,
  • Matthew Braga

      Affiliations

    • Children's Hospital at Dartmouth, Department of Pediatric Critical Care, United States
    • ,
  • Robert A. Berg

      Affiliations

    • The Children's Hospital of Philadelphia, Department of Anesthesia, Critical Care Medicine, and Pediatrics, University of Pennsylvania School of Medicine, United States
    • ,
  • Anne Ades

      Affiliations

    • Children's Hospital of Philadelphia, Department of Pediatrics, University of Pennsylvania School of Medicine, United States

Received 14 July 2009 ,Revised 23 December 2009 ,Accepted 29 January 2010.

References 

  1. 2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2005;112:IV-188–IV-195
  2. In:  Kattwinkel J editors. Neonatal resuscitation textbook. 5th ed.. American Heart Association, American Academy of Pediatrics; 2006;
  3. Halperin HR, Tsitlik JE, Guerci AD, et al. Determinants of blood flow to vital organs during cardiopulmonary resuscitation in dogs. Circulation. 1986;73:539–550
  4. Kern KB, Lancaster L, Goldman S, Ewy GA. The effect of coronary artery lesions on the relationship between coronary perfusion pressure and myocardial blood flow during cardiopulmonary resuscitation in pigs. Am Heart J. 1990;120:324–333
  5. 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
  6. Idris AH, Becker LB, Ornato JP, et al. Utstein-style guidelines for uniform reporting of laboratory CPR research. Circulation. 1996;94:2324–2336
  7. Pickard A, Darby M, Soar J. Radiological assessment of the adult chest: implications for chest compressions. Resuscitation. 2006;71:387–390
  8. Orlowski JP. Optimum position for external cardiac compression in infants and young children. Ann Emerg Med. 1986;15:667–673
  9. Phillips GW, Zideman DA. Relation of infant heart to sternum: its significance in cardiopulmonary resuscitation. Lancet. 1986;1:1024–1025
  10. Braga MS, Pollock AN, Nadkarni V, Dominguez TE, Niles D. Estimation of optimal CPR chest compression depth in children. Pediatrics. 2009;124:e69–74
  11. Babbs CF, Voorhees WD, Fitzgerald KR, Holmes HR, Geddes LA. Relationship of artificial cardiac output to chest compression amplitude—evidence for an effective compression threshold. Ann Emerg Med. 1983;12:527–532
  12. Takahashi Y, Harada K, Ishida A, Tamura M, Takada G. Left ventricular preload reserve in preterm infants with patent ductus arteriosus. Arch Dis Child. 1994;71:F118–121
  13. Walther FJ, Kim DH, Ebrahimi M, Siassi B. Pulsed Doppler measurement of left ventricular output as early predictor of symptomatic patent ductus arteriosus in very preterm infants. Biol Neonate. 1989;56:121–128
  14. Kern KB, Sanders AB, Raife J, Milander MM, Otto CW, Ewy GA. A study of chest compression rates during cardiopulmonary resuscitation in humans: the importance of rate-directed chest compressions.
  15. 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
  16. Paradis NA, Martin GB, Goetting MG, et al. Simultaneous aortic, jugular bulb, and right atrial pressures during cardiopulmonary resuscitation in humans: insights into mechanisms. Circulation. 1989;80:361–368
  17. 2005 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Part 4. Adult basic life support. Circulation. 2005;112:IV-19–IV-34
  18. Babbs CF, Kern KB. Optimal compression to ventilation ratios in CPR under realistic practical conditions: a physiological and mathematical analysis. Resuscitation. 2002;54:147–157
  19. Babbs CF, Nadkarni V. Optimizing chest compression to rescue ventilation ratios during one-rescuer CPR by professionals and lay persons: children are not just little adults. Resuscitation. 2004;61:173–181

☆ A Spanish translated version of the abstract of this article appears as Appendix in the final online version at doi:10.1016/j.resuscitation.2010.01.032.

PII: S0300-9572(10)00083-3

doi: 10.1016/j.resuscitation.2010.01.032

Resuscitation
Volume 81, Issue 5 , Pages 544-548 , May 2010

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