Impact of Infant Positioning on Cardiopulmonary Resuscitation Performance During Simulated Pediatric Cardiac Arrest: A Randomized Crossover Study

Objectives:

The primary objective was to determine the impact of infant positioning on cardiopulmonary resuscitation performance during simulated pediatric cardiac arrest.

Design:

A single-center, prospective, randomized, unblinded manikin study.

Setting:

Medical university-affiliated simulation facility.

Subjects:

Fifty-two first-line professional rescuers (n = 52).

Interventions:

Performance of cardiopulmonary resuscitation was determined using an infant manikin model in three different positions (on a table [T], on the provider’s forearm with the manikin’s head close to the provider’s elbow [P], and on the provider’s forearm with the manikin’s head close to the provider’s palm [D]). For the measurement of important cardiopulmonary resuscitation performance variables, a commercially available infant simulator was modified. In a randomized sequence, healthcare professionals performed single-rescuer cardiopulmonary resuscitation for 3 minutes in each position. Performances of chest compression (primary outcome), ventilation, and hands-off time were analyzed using a multilevel regression model.

Measurements and Main Results:

Mean (± sd) compression depth significantly differed between table and the other two manikin positions (31 ± 2 [T], 29 ± 3 [P], and 29 ± 3 mm [D]; overall p

Source: Pediatric Critical Care Medicine - December 1, 2020 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research