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Can I read Depth of sternal compression and intra-arterial blood pressure during CPR in infants following cardiac surgery on EtoBox?
Depth of sternal compression and intra-arterial blood pressure during CPR in infants following cardiac surgery by Kevin O. Maher; Robert A. Berg; C. Wesley Lindsey; Janet Simsic; William T. Mahle is a Medicine article available to read on EtoBox.
What is Depth of sternal compression and intra-arterial blood pressure during CPR in infants following cardiac surgery about?
## a b s t r a c t The optimal depth of sternal compressions during cardiopulmonary resuscitation (CPR) in infants is unknown; current guidelines recommend compressing to a depth of 1/3rd to 1/2 the anterior-posterior (AP) diameter of the chest. Our experience to compress the chest at 1/3rd the AP diameter often fails to provide an adequate blood pressure response. We reviewed our experience with CPR, depth of compressions, and arterial blood pressure response in a cohort of 6 infants having cardiac surgery and subsequent cardiac arrest. Pediatric advanced life support measures were initiated, with attempted compressions to 1/3rd the AP chest diameter. Depth of attempted compressions was increased to approximately 1/2 the AP chest diameter if systolic BP response was inadequate (i.e., <60 mm Hg systolic). BP tracings were reviewed and contiguous recordings were evaluated as compressions were attempted at 1/3rd and 1/2 the AP chest diameter. The age range was from 2 weeks to 7.3 months, and median age was of 1.0 month. The mean systolic BP was 83.4 mm Hg for the 1/2 AP chest diameter technique vs. 51.6 mm Hg for the 1/3rd AP diameter approach, p < 0.001. The mean diastolic pressure
Who reads Depth of sternal compression and intra-arterial blood pressure during CPR in infants following cardiac surgery?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Kevin O. Maher; Robert A. Berg; C. Wesley Lindsey; Janet Simsic; William T. Mahle
- Publisher
- Elsevier Science; Elsevier ; Elsevier BV (ISSN 0300-9572)
- Published
- 2009
- Language
- EN
- Field
- Medicine (Health Sciences)