Document Detail

Closed chest cardiac massage in the newborn infant.
MedLine Citation:
PMID:  3353189     Owner:  NLM     Status:  MEDLINE    
The recommended techniques for external cardiac compression during cardiopulmonary resuscitation of the newborn are reviewed. The American Heart Association advises the rescuer to depress the infant's midsternum with the index and forefingers. An alternative recommendation is to encircle the chest with both hands and appose the thumbs on the midsternum. The cases reported here prove the superiority of the latter maneuver over the former in improving cardiac output and systemic blood pressures. The history of external cardiac compression in infants and children is briefly reviewed, further supporting the conclusion that the technique of encircling the chest with thumbs at midsternum is more efficacious and hence the preferred approach to closed chest cardiac massage in the newborn.
R David
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatrics     Volume:  81     ISSN:  0031-4005     ISO Abbreviation:  Pediatrics     Publication Date:  1988 Apr 
Date Detail:
Created Date:  1988-05-10     Completed Date:  1988-05-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  552-4     Citation Subset:  AIM; IM    
Department of Pediatrics, University of Pittsburgh School of Medicine, Pennsylvania.
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MeSH Terms
Blood Pressure
Cardiac Output
Heart Massage / methods*
Heart Rate
Infant, Newborn / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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