scholarly journals Ventilation, Chest Compression and Placental Circulation at Neonatal Resuscitation – ILCOR Recommendation 2015

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Hutchon DJR
Keyword(s):  
Chest Compression ◽  
Neonatal Resuscitation

scholarly journals USING CHEST COMPRESSIONS WITH ASYNCHRONOUS VENTILATION AT VARIOUS CHEST COMPRESSION RATES (90, 100, 120/MIN) – A RANDOMIZED CONTROLLED ANIMAL TRIAL

2018 ◽  
Vol 23 (suppl_1) ◽  
pp. e27-e28
Author(s):  
Sparsh Patel ◽  
Po-Yin Cheung ◽  
Tze-Fun Lee ◽  
Matteo Pasquin ◽  
Megan O’Reilly ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Chest Compression ◽  
Porcine Model ◽  
Life Support ◽  
Neonatal Resuscitation ◽  
Chest Compressions ◽  
Neonatal Asphyxia ◽  
Significant Difference ◽  
Post Test ◽  
The Mean

Abstract BACKGROUND The current Pediatric Advanced Life Support guidelines recommends that newborns who require cardiopulmonary resuscitation (CPR) in settings (e.g., prehospital, Emergency department, or paediatric intensive care unit, etc.) should receive continuous chest compressions with asynchronous ventilations (CCaV) if an advanced airway is in place. However, this has never been examined in a newborn model of neonatal asphyxia. OBJECTIVES To determine if CCaV at rates of 90/min or 120/min compared to current standard of 100/min will reduce the time to return of spontaneous circulation (ROSC) in a porcine model of neonatal resuscitation. DESIGN/METHODS Term newborn piglets were anesthetized, intubated, instrumented, and exposed to 40-min normocapnic hypoxia followed by asphyxia, which was achieved by clamping the endotracheal tube until asystole. Piglets were randomized into 3 CCaV groups: chest compression (CC) at a rate of 90/min (CCaV 90,n=7), of 100/min (CCaV 100,n=7), of 120/min (CCaV 120,n=7), or sham-operated group. A two-step randomization process with sequentially numbered, sealed brown envelope was used to reduce selection bias. After surgical instrumentation and stabilization an envelope containing the allocation “sham” or “intervention” was opened (step one). The sham-operated group had the same surgical protocol, stabilization, and equivalent experimental periods without hypoxia and asphyxia. Only piglets randomized to “intervention” underwent hypoxia and asphyxia. Once the criteria for CPR were met, a second envelope containing the group allocations was opened (step two). Cardiac function, carotid blood flow, cerebral oxygenation, and respiratory parameters were continuously recorded throughout the experiment. RESULTS The mean (±SD) duration of asphyxia was similar between the groups with 260 (±133)sec, 336 (±217)sec, and 231 (±174)sec for CCav 90, CCaV 100, and CCaV 120, respectively (p=1.000; oneway ANOVA with Bonferroni post-test). The mean (SD) time to ROSC was also similar between groups 342 (±345)sec, 312 (±316)sec, and 309 (±287)sec for CCav 90, CCaV 100, and CCaV 120, respectively (p=1.000; oneway ANOVA with Bonferroni post-test). Overall, 5/7 in the CCaV 90, 5/7 in CCaV 100, and 5/7 in the CCaV 120 survived. CONCLUSION There was no significant difference in time to ROSC for either chest compression technique during cardiopulmonary resuscitation in a porcine model of neonatal asphyxia.

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

Resuscitation ◽  
2010 ◽  
Vol 81 (5) ◽  
pp. 544-548 ◽  
Author(s):  
Andrew Meyer ◽  
Vinay Nadkarni ◽  
Avrum Pollock ◽  
Charles Babbs ◽  
Akira Nishisaki ◽  
...  
Keyword(s):  
Computerized Tomography ◽  
Chest Compression ◽  
Neonatal Resuscitation ◽  
Compression Depth ◽  
Tomography Imaging

Effect of two different chest compression techniques on ventilation during neonatal resuscitation

2021 ◽  
Author(s):  
Johanne Jahnsen ◽  
Alvaro González ◽  
Jorge Fabres ◽  
Alejandra Bahamondes ◽  
Alberto Estay
Keyword(s):  
Chest Compression ◽  
Neonatal Resuscitation

scholarly journals Evaluation of the proper chest compression depth for neonatal resuscitation using computed tomography

Medicine ◽  
2021 ◽  
Vol 100 (26) ◽  
pp. e26122
Author(s):  
Juncheol Lee ◽  
Dong Keon Lee ◽  
Jaehoon Oh ◽  
Seung Min Park ◽  
Hyunggoo Kang ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Chest Compression ◽  
Neonatal Resuscitation ◽  
Compression Depth

Heart rate changes during positive pressure ventilation after asphyxia-induced bradycardia in a porcine model of neonatal resuscitation

2018 ◽  
Vol 104 (1) ◽  
pp. F98-F101 ◽  
Author(s):  
Maria Liza Espinoza ◽  
Po-Yin Cheung ◽  
Tze-Fun Lee ◽  
Megan O’Reilly ◽  
Georg M Schmölzer
Keyword(s):  
Heart Rate ◽  
Chest Compression ◽  
Positive Pressure Ventilation ◽  
Porcine Model ◽  
Neonatal Resuscitation ◽  
Positive Pressure ◽  
Term Newborn ◽  
Newborn Piglets ◽  
Severe Bradycardia ◽  
Neonatal Resuscitation Program

BackgroundThe Neonatal Resuscitation Program (NRP) states that if adequate positive pressure ventilation (PPV) was given for a low heart rate (HR), the infant’s HR should increase within the first 15 s of PPV.ObjectiveTo assess changes in HR in piglets with asphyxia-induced bradycardia.MethodsTerm newborn piglets (n=30) were anaesthetised, intubated, instrumented and exposed to 50 min normocapnic hypoxia followed by asphyxia. Asphyxia was achieved by clamping the tube until severe bradycardia (defined as HR at <25% of baseline). This was followed by 30 s adequate PPV and chest compression thereafter. Changes in HR during the 30 s of PPV were assessed and divided into four epochs (0–10 s, 5–15 s, 10–20 s and 20–30 s, respectively).ResultsIncrease in HR >100/min was observed in 6/30 (20%) after 30 s of PPV. Within the epochs 0–10 s, 5–15 s or 10–20 s no piglet had an increase in HR >100/min. Additional 10/30 (33%) had a >10% increase in HR.ConclusionIn contrast to NRP recommendation, adequate PPV does not increase HR within 15 s after ventilation in piglets with asphyxia-induced bradycardia.

Fatigue during Chest Compression Using a Neonatal Patient Simulator

2018 ◽  
Vol 35 (08) ◽  
pp. 796-800
Author(s):  
Diego Enriquez ◽  
Javier Meritano ◽  
Birju Shah ◽  
Clara Song ◽  
Edgardo Szyld
Keyword(s):  
Chest Compression ◽  
Neonatal Resuscitation ◽  
Patient Simulator ◽  
Neonatal Nurses ◽  
Aerobic Activity ◽  
Performance Quality ◽  
Operator Fatigue ◽  
Neonatal Patient ◽  
Gender Based ◽  
Mean Time

Objective The objective of this study was to evaluate chest compression (CC) quality and operator fatigue during CC, with coordinated ventilation, on a neonatal simulator and to explore its association with provider aerobic activity and body mass index. Methods This was a prospective observational experimental study on pediatricians, neonatologists, and neonatal nurses who frequently deliver newborns and who have signed the informed consent. Subjects performed CC coordinated with ventilations at a ratio of 3:1 for 10 minutes on a neonatal mannequin. Proxy of fatigue was defined as four consecutive CC below target. Results Forty subjects participated; 62% were women. Twenty one (52%) evidenced weariness, as they performed. No gender-based differences were found in weariness. No subject abandoned the procedure due to fatigue. Subjects who participated in aerobic exercise had a significantly better performance than those who did not participate. Early fatigue was significantly associated with higher BMI. The reduction in effectiveness occurred at a mean time of 7.7 minutes (range 3.5–9 minutes). Conclusion CC performance quality decreased and fatigue was frequent before 10 minutes had elapsed on a neonatal simulator. Provider fatigue was associated with both lack of aerobic activity and BMI ≥ 25. Our findings support the need for guidelines requiring frequent rotation of CC providers during prolonged neonatal resuscitation.

3:1 Compression to ventilation ratio versus continuous chest compression with asynchronous ventilation in a porcine model of neonatal resuscitation

Resuscitation ◽  
2014 ◽  
Vol 85 (2) ◽  
pp. 270-275 ◽  
Author(s):  
Georg M. Schmölzer ◽  
Megan O’Reilly ◽  
Joseph LaBossiere ◽  
Tze-Fun Lee ◽  
Shaun Cowan ◽  
...  
Keyword(s):  
Chest Compression ◽  
Porcine Model ◽  
Neonatal Resuscitation ◽  
Ratio Versus

scholarly journals Is Chest Compression Superimposed with Sustained Inflation during Cardiopulmonary Resuscitation an Alternative to 3:1 Compression to Ventilation Ratio in Newborn Infants?

Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 97
Author(s):  
Seung Yeon Kim ◽  
Gyu-Hong Shim ◽  
Georg M. Schmölzer
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Chest Compression ◽  
Newborn Infants ◽  
Neonatal Resuscitation ◽  
Spontaneous Circulation ◽  
Delivery Room ◽  
Sustained Inflation ◽  
Resuscitation Guidelines ◽  
High Incidence ◽  
Reduced Time

Approximately 0.1% for term and 10–15% of preterm infants receive chest compression (CC) in the delivery room, with high incidence of mortality and neurologic impairment. The poor prognosis associated with receiving CC in the delivery room has raised concerns as to whether specifically-tailored cardiopulmonary resuscitation methods are needed. The current neonatal resuscitation guidelines recommend a 3:1 compression:ventilation ratio; however, the most effective approach to deliver chest compression is unknown. We recently demonstrated that providing continuous chest compression superimposed with a high distending pressure or sustained inflation significantly reduced time to return of spontaneous circulation and mortality while improving respiratory and cardiovascular parameters in asphyxiated piglet and newborn infants. This review summarizes the current available evidence of continuous chest compression superimposed with a sustained inflation.

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