AIM: Medical providers often do not perform chest compressions in accordance with recommended resuscitation guidelines for adults and children. Little is known regarding how well neonatal providers perform coordinated chest compressions and ventilations. The objective of this study was to characterize Neonatal Resuscitation Program (NRP) trained providers' adherence to NRP recommendations for coordinated chest compressions and ventilations in a simulated setting. METHODS: Fifty NRP providers performed coordinated chest compressions for three minutes on a neonatal manikin. A compression sensor (accelerometer) was used to monitor and record compression data. Data analyzed included ratio of compressions to ventilation pauses, delivered chest compressions per minute (CC/min), and duration of ventilation pauses. RESULTS: Delivered CC/min ranged from 61 to 136. The mean CC/min (99, SD 16) was significantly higher than the NRP-recommended value of 90 (p=0.002). Delivered CC/min did not differ from the first 30 seconds to the last 30 seconds of compressions (p=0.91). Duration of ventilation pauses was highly correlated with CC/min (Spearman's rho= -0.98, p<0.001), with a median duration of 0.92 seconds (IQ range (0.84, 1.02). CONCLUSIONS: NRP trained providers often do not adhere to NRP recommendations for delivery of coordinated chest compressions during simulated cardiac depression. The mean CC/min performed is higher than recommended. Duration of ventilation pauses is highly correlated with delivered CC/min. Future studies should focus on methods to improve the timing of delivered chest compressions by NRP providers to conform to NRP recommendations.
AIM: Medical providers often do not perform chest compressions in accordance with recommended resuscitation guidelines for adults and children. Little is known regarding how well neonatal providers perform coordinated chest compressions and ventilations. The objective of this study was to characterize Neonatal Resuscitation Program (NRP) trained providers' adherence to NRP recommendations for coordinated chest compressions and ventilations in a simulated setting. METHODS: Fifty NRP providers performed coordinated chest compressions for three minutes on a neonatal manikin. A compression sensor (accelerometer) was used to monitor and record compression data. Data analyzed included ratio of compressions to ventilation pauses, delivered chest compressions per minute (CC/min), and duration of ventilation pauses. RESULTS: Delivered CC/min ranged from 61 to 136. The mean CC/min (99, SD 16) was significantly higher than the NRP-recommended value of 90 (p=0.002). Delivered CC/min did not differ from the first 30 seconds to the last 30 seconds of compressions (p=0.91). Duration of ventilation pauses was highly correlated with CC/min (Spearman's rho= -0.98, p<0.001), with a median duration of 0.92 seconds (IQ range (0.84, 1.02). CONCLUSIONS: NRP trained providers often do not adhere to NRP recommendations for delivery of coordinated chest compressions during simulated cardiac depression. The mean CC/min performed is higher than recommended. Duration of ventilation pauses is highly correlated with delivered CC/min. Future studies should focus on methods to improve the timing of delivered chest compressions by NRP providers to conform to NRP recommendations.
Authors: Catherine Christman; Rae Jean Hemway; Myra H Wyckoff; Jeffrey M Perlman Journal: Arch Dis Child Fetal Neonatal Ed Date: 2010-09-16 Impact factor: 5.747
Authors: Benjamin S Abella; Nathan Sandbo; Peter Vassilatos; Jason P Alvarado; Nicholas O'Hearn; Herbert N Wigder; Paul Hoffman; Kathleen Tynus; Terry L Vanden Hoek; Lance B Becker Journal: Circulation Date: 2005-02-01 Impact factor: 29.690
Authors: Je Hyeok Oh; Sang Jin Lee; Sung Eun Kim; Kwang Jung Lee; Ju Won Choe; Chan Woong Kim Journal: Resuscitation Date: 2008-08-08 Impact factor: 5.262
Authors: Philip S Martin; Alison M Kemp; Peter S Theobald; Sabine A Maguire; Michael D Jones Journal: Resuscitation Date: 2012-10-31 Impact factor: 5.262
Authors: Robert M Sutton; Dana Niles; Jon Nysaether; Benjamin S Abella; Kristy B Arbogast; Akira Nishisaki; Matthew R Maltese; Aaron Donoghue; Ram Bishnoi; Mark A Helfaer; Helge Myklebust; Vinay Nadkarni Journal: Pediatrics Date: 2009-07-05 Impact factor: 7.124
Authors: Philip Martin; Peter Theobald; Alison Kemp; Sabine Maguire; Ian Maconochie; Michael Jones Journal: Resuscitation Date: 2013-04-06 Impact factor: 5.262