OBJECTIVE: For infant and child resuscitation, current basic life support guidelines recommend a compression depth of one third to one half of the anteroposterior chest diameter. This study was conducted to assess the actual compression depths in infants and children when current guidelines are strictly followed. PATIENTS AND METHODS: Chest computed tomography scans of 36 infants (<1 year old) and 38 children (1-8 years old) were reviewed. Patient demographic data were collected from medical records. Measurements of the anteroposterior diameter from chest computed tomography scans were taken from the anterior skin at either the internipple line or the middle of the lower half of the sternum, perpendicular to the skin on the posterior thorax. RESULTS: In the infant group (25 boys, 11 girls), the mean age was 3.6 months. In the child-age group (21 boys, 17 girls), the mean age was 4.0 years. Compression depths were 3.4 to 5.1 cm in the infant group and 4.4 to 6.6 cm in the child group when current guidelines were followed. There was no difference in compression depths measured at internipple line versus in the lower half of the sternum. The intrathoracic structures observed beneath these 2 suggested that compression landmarks were similar. CONCLUSIONS: Radiological assessment of infants' and children's chests indicates similar or higher compression depths for infants and children versus the recommended compression depths for adults (3.8-5.1 cm) according to current guidelines. More evidence is needed to guide the proper depth of chest compression in pediatric populations.
OBJECTIVE: For infant and child resuscitation, current basic life support guidelines recommend a compression depth of one third to one half of the anteroposterior chest diameter. This study was conducted to assess the actual compression depths in infants and children when current guidelines are strictly followed. PATIENTS AND METHODS: Chest computed tomography scans of 36 infants (<1 year old) and 38 children (1-8 years old) were reviewed. Patient demographic data were collected from medical records. Measurements of the anteroposterior diameter from chest computed tomography scans were taken from the anterior skin at either the internipple line or the middle of the lower half of the sternum, perpendicular to the skin on the posterior thorax. RESULTS: In the infant group (25 boys, 11 girls), the mean age was 3.6 months. In the child-age group (21 boys, 17 girls), the mean age was 4.0 years. Compression depths were 3.4 to 5.1 cm in the infant group and 4.4 to 6.6 cm in the child group when current guidelines were followed. There was no difference in compression depths measured at internipple line versus in the lower half of the sternum. The intrathoracic structures observed beneath these 2 suggested that compression landmarks were similar. CONCLUSIONS: Radiological assessment of infants' and children's chests indicates similar or higher compression depths for infants and children versus the recommended compression depths for adults (3.8-5.1 cm) according to current guidelines. More evidence is needed to guide the proper depth of chest compression in pediatric populations.
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Authors: Monica E Kleinman; Allan R de Caen; Leon Chameides; Dianne L Atkins; Robert A Berg; Marc D Berg; Farhan Bhanji; Dominique Biarent; Robert Bingham; Ashraf H Coovadia; Mary Fran Hazinski; Robert W Hickey; Vinay M Nadkarni; Amelia G Reis; Antonio Rodriguez-Nunez; James Tibballs; Arno L Zaritsky; David Zideman Journal: Pediatrics Date: 2010-10-18 Impact factor: 7.124
Authors: Robert M Sutton; Dana Niles; Benjamin French; Matthew R Maltese; Jessica Leffelman; Joar Eilevstjønn; Heather Wolfe; Akira Nishisaki; Peter A Meaney; Robert A Berg; Vinay M Nadkarni Journal: Resuscitation Date: 2013-08-29 Impact factor: 5.262
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Authors: Robert M Sutton; Heather Wolfe; Akira Nishisaki; Jessica Leffelman; Dana Niles; Peter A Meaney; Aaron Donoghue; Matthew R Maltese; Robert A Berg; Vinay M Nadkarni Journal: Resuscitation Date: 2013-08-15 Impact factor: 5.262
Authors: Robert M Sutton; Benjamin French; Akira Nishisaki; Dana E Niles; Matthew R Maltese; Lori Boyle; Mette Stavland; Joar Eilevstjønn; Kristy B Arbogast; Robert A Berg; Vinay M Nadkarni Journal: Resuscitation Date: 2012-09-06 Impact factor: 5.262
Authors: Gene Yong-Kwang Ong; Aloysius Jian Feng Ang; Amirzeb S O Aurangzeb; Elisabeth Sue Shuen Fong; Jun Yuan Tan; Zhao Jin Chen; Yiong Huak Chan; Phua Hwee Tang; Jen Heng Pek; Ian Maconochie; Kee Chong Ng; Vinay Nadkarni Journal: Resusc Plus Date: 2021-03-27