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Is optimal paddle force applied during paediatric external defibrillation?

Abstract：

INTRODUCTION:Optimal paddle force minimises transthoracic impedance; a factor associated with increased defibrillation success. Optimal force for the defibrillation of children < or =10 kg using paediatric paddles has previously been shown to be 2.9 kgf, and for children >10 kg using adult paddles is 5.1 kgf. We compared defibrillation paddle force applied during simulated paediatric defibrillation with these optimal values. METHODS:72 medical and nursing staff who would be expected to perform paediatric defibrillation were recruited from a University teaching hospital. Participants, blinded to the nature of the study, were asked to simulate defibrillation of an infant manikin (9 months of age) and a child manikin (6 years of age) using paediatric or adult paddles, respectively, according to guidelines. Paddle force (kgf) was measured at the time of simulated shock and compared with known optimal values. RESULTS:Median paddle force applied to the infant manikin was 2.8 kgf (max 9.6, min 0.6), with only 47% operators attaining optimal force. Median paddle force applied to the child manikin was 3.8 kgf (max 10.2, min 1.0), with only 24% of operators attaining optimal force. CONCLUSION:Defibrillation paddle force applied during paediatric defibrillation often falls below optimal values.

journal_name

Resuscitation

journal_title

Resuscitation

authors

Bennetts SH,Deakin CD,Petley GW,Clewlow F

doi

10.1016/j.resuscitation.2003.09.001

keywords:

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

29-32

issue

1

eissn

0300-9572

issn

1873-1570

pii

S0300957203003241

journal_volume

60

pub_type

杂志文章

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