Document Detail


A comparison of the area of chest compression by the superimposed-thumb and the alongside-thumb techniques for infant cardiopulmonary resuscitation.
MedLine Citation:
PMID:  21620550     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: We investigated whether the superimposed-thumb technique could reduce the chest compression area in infant cardiopulmonary resuscitation (CPR). METHODS: Charts and multidirectional computed tomography images of infants presented to four hospitals from January 2007 to September 2010 were reviewed retrospectively. We measured at the point of maximal anterior-posterior heart diameter the width of the sternum meter (S(ap)), vertical heart length from S(ap), length and width of the superimposed-thumb technique and length and width of the alongside-thumb technique. We studied the structures located underneath thumbs superimposed and thumbs alongside at S(ap) and S(nipple) (the sternum of the inter-nipple line). RESULTS: In the 84 infants enrolled, the width of the sternum at S(ap), and the vertical heart length from S(ap) were 0.85±0.31 and 1.71±0.47cm, respectively. The length and width of the superimposed-thumb technique were 1.65±0.13 and 2.73±0.22cm, respectively. The length and width of the alongside-thumb technique were 3.00±0.48 and 3.77±0.24cm, respectively. The liver was situated underneath thumbs superimposed at S(ap) in 59.5% infants. The livers and lungs of 73.8% and 64.3% infants, respectively, were underneath thumbs alongside at S(nipple). CONCLUSION: In this study, we confirmed that the superimposed-thumb technique may reduce chest compression area in infant CPR. The lungs or livers were located more often underneath thumbs alongside at S(nipple) than underneath thumbs superimposed at S(ap). However, further studies are needed to validate the efficiency and safety of this technique.
Authors:
Seung Han Lee; Yong Chul Cho; Seung Ryu; Jin Woong Lee; Seung Whan Kim; In Sool Yoo; Yeon Ho You; Byung Kook Lee; Jung Soo Park; Seung Soo Park; Won Jun Jung
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-5-5
Journal Detail:
Title:  Resuscitation     Volume:  -     ISSN:  1873-1570     ISO Abbreviation:  -     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-5-30     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Department of Emergency Medicine, College of Medicine, Chungnam National University Hospital, Daejeon, South Korea; Department of Emergency Medicine, College of Medicine, Chonnam National University Hospital, Gwangju, South Korea; Department of Emergency Medicine, College of Medicine, Chungbuk National University Hospital, Cheongju, South Korea; Department of Emergency Medicine, Konyang University Hospital, Daejeon, South Korea.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

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


Previous Document:  The role of the human extrastriate visual cortex in mirror symmetry discrimination: A TMS-adaptation...
Next Document:  Beneficial effects of erythropoietin on airway histology in a murine model of chronic asthma.