Abstract：
BACKGROUND:Morbidity and mortality remain high following infant cardiac arrest. Optimal cardiopulmonary resuscitation (CPR) is therefore imperative. OBJECTIVE:Comparison of two-thumb (TT) and two-finger (TF) infant chest compression technique compliance with international recommendations. DESIGN:Randomised cross-over experimental study. METHODS:Twenty-two certified Advanced Paediatric Life Support (APLS) instructors performed 2 min continuous TT and TF chest compressions on an instrumented infant CPR manikin. Compression depth (CD), release force (RF), compression rate (CR) and duty cycles (DCs) were recorded. Quality indices were developed to calculate the proportion of compressions that complied with internationally recommended targets, and an overall quality index was used to calculate the proportion that complied with all four targets. RESULTS:Mean CD was 33 mm and 26 mm (p<0.001; target ≥36.7 mm), mean RF was 0.8 kg and 0.2 kg (p<0.001; target <2.5 kg), mean CR was 128/min and 131/min (p=0.052; target 100-120/min) and mean DCs was 61% and 53% (p<0.001; target 30-50%) for the TT and TF techniques, respectively. With the exception of RF, the majority of compressions failed to comply with targets. The TT technique improved median CD compliance (6% vs 0% (p<0.001)), while the TF technique improved median DC compliance (23% vs 0% (p<0.001)). Overall compliance with all four targets was <1% for both techniques (p=0.14). CONCLUSIONS:Compliance of APLS instructors with current international recommendations during simulated infant CPR is poor. The TT technique provided improved CD compliance, while the TF technique provided superior DC compliance. If this reflects current clinical practice, optimisation of performance to achieve international recommendations during infant CPR is called for.
journal_name
Arch Dis Childjournal_title
Archives of disease in childhoodauthors
Martin PS,Kemp AM,Theobald PS,Maguire SA,Jones MDdoi
10.1136/archdischild-2012-302583subject
Has Abstractpub_date
2013-08-01 00:00:00pages
576-81issue
8eissn
0003-9888issn
1468-2044pii
archdischild-2012-302583journal_volume
98pub_type
杂志文章,随机对照试验abstract：:Clinical observations and findings on imaging are reported in six newborns with symmetrical thalamic lesions (STL). In three cases the diagnosis was confirmed by postmortem examination. Characteristic observations in this series and 17 previously reported cases include no evidence of perinatal asphyxia, high incidence...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.67.1_spec_no.15
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abstract：OBJECTIVE:To assess height and body mass index standard deviation scores up to 20 years after treatment for acute lymphoblastic leukaemia (ALL). SUBJECTS AND METHODS:Height and body mass index standard deviation scores were measured in 33 patients (14 boys and 19 girls) with childhood ALL at diagnosis, after the end o...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.79.2.161
更新日期：1998-08-01 00:00:00
abstract：:Advances in paediatric care mean that more children with complex medical problems (heart disease, neurodevelopmental problems and so on) are surviving their early years. This has important implications for the design and delivery of healthcare given their extensive multidisciplinary requirements and susceptibility to ...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/archdischild-2019-317373
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journal_title：Archives of disease in childhood
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1136/adc.68.4.477
更新日期：1993-04-01 00:00:00
abstract：OBJECTIVE:Use next-generation sequencing (NGS) technology to improve our diagnostic yield in patients with suspected genetic disorders in the Asian setting. DESIGN:A diagnostic study conducted between 2014 and 2019 (and ongoing) under the Singapore Undiagnosed Disease Program. Date of last analysis was 1 July 2019. S...
journal_title：Archives of disease in childhood
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journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.83.1.52
更新日期：2000-07-01 00:00:00
abstract：:Fifty nine preterm infants of between 1.0 and 2.0 kg birthweight who were fed 250 ml/kg/day of breast milk or standard formulas gained weight at the intrauterine rate without complications. It is suggested that high volume feeding is a satisfactory alternative to low birthweight formula milks and is more desirable in ...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.59.8.779
更新日期：1984-08-01 00:00:00
abstract：PURPOSE:Since 1997, strong incentives have been introduced worldwide to improve access to safe and effective medicines addressing the therapeutic needs of children. ACE inhibitors, the most prescribed antihypertensive drugs in the paediatric population, are one of the prototype drugs targeted by the legislation initiat...
journal_title：Archives of disease in childhood
pub_type： 杂志文章,评审
doi：10.1136/archdischild-2016-310582
更新日期：2017-01-01 00:00:00
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journal_title：Archives of disease in childhood
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doi：10.1136/adc.66.4_spec_no.437
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journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.67.1.136
更新日期：1992-01-01 00:00:00
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journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.83.5.413
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journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/archdischild-2015-308615
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journal_title：Archives of disease in childhood
pub_type： 杂志文章
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pub_type： 杂志文章
doi：10.1136/archdischild-2011-301476
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journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/archdischild-2018-314862
更新日期：2019-01-01 00:00:00
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journal_title：Archives of disease in childhood
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1136/adc.69.5.580
更新日期：1993-11-01 00:00:00
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journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.2006.104778
更新日期：2007-07-01 00:00:00
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journal_title：Archives of disease in childhood
pub_type： 杂志文章,meta分析,评审
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更新日期：2003-09-01 00:00:00
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journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/archdischild-2016-311605
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journal_title：Archives of disease in childhood
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pub_type： 杂志文章
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journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.65.1.103
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journal_title：Archives of disease in childhood
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1998-12-01 00:00:00
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journal_title：Archives of disease in childhood
pub_type： 杂志文章,多中心研究
doi：10.1136/adc.2006.114975
更新日期：2007-09-01 00:00:00
abstract：OBJECTIVE:To characterise fetal brain growth in children with specific language impairment (SLI). DESIGN:A nested case-control study. SETTING:Perth, Western Australia. PARTICIPANTS:Thirty children meeting criteria for SLI at age 10 years were individually matched with a typically developing comparison child on sex, ...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.2009.180331
更新日期：2012-01-01 00:00:00
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journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.2003.033688
更新日期：2004-06-01 00:00:00
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journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/adc.53.5.375
更新日期：1978-05-01 00:00:00
abstract：BACKGROUND:The number of trips to the tropics taken by children with chronic health disorders (CHDs) is increasing. METHODS:All of the children with CHDs who attended two international vaccination centres in France before travelling to the tropics were included in a prospective, exposed/unexposed study. Each child was...
journal_title：Archives of disease in childhood
pub_type： 杂志文章
doi：10.1136/archdischild-2015-309436
更新日期：2016-11-01 00:00:00
