RELATION OF INFANT HEART TO STERNUM: ITS SIGNIFICANCE IN CARDIOPULMONARY RESUSCITATION
References (5)
Standards and guidelines for cardiopulmonary resuscitation (CPR) and emergency cardiac care (ECC)
JAMA
(1980)Cardiopulmonary arrest
N Engl. J Med
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Cited by (77)
Chest compressions and medications during neonatal resuscitation
2022, Seminars in PerinatologyCitation Excerpt :These studies suggest an advantage with TT compared to the TF-technique. To optimize the effects of the TT-technique during CC, an optimal finger positioning over the lower third of the sternum is important to facilitate efficient compression directly over the heart17 while minimizing the risk of fractures.18 Compressions should be administered to a depth of approximately one third the anteroposterior diameter of the chest.19
European Resuscitation Council Guidelines 2021: Newborn resuscitation and support of transition of infants at birth
2021, ResuscitationCitation Excerpt :In a manikin study, overlapping the thumbs on the sternum was more effective than adjacent positioning but more likely to cause fatigue.295 The sternum is compressed to a depth of approximately one-third of the anterior-posterior diameter of the chest allowing the chest wall to return to its relaxed position between compressions.296–300 Delivering compressions from ‘over the head’ appears as effective as the lateral position.301
Comparing the two-finger versus two-thumb technique for single person infant CPR: A systematic review and meta-analysis
2020, ResuscitationCitation Excerpt :In 2010 the American Heart Association (AHA) resuscitation guidelines recommended that a two-finger technique, with the fingers placed just inferior to the inter-mammillary line, be used for performing chest compressions in an infant 1–12 months of age when a single rescuer is performing cardiopulmonary resuscitation (CPR).1 In support of this recommendation, the AHA referenced five studies that discussed the anatomic location of the pediatric heart,2–6 while also recommending that when performed by multiple rescuers, chest compressions should be performed using a two-thumb technique with the hands encircling the chest due to higher perfusion pressures with this technique.7–12 At the time of the 2010 recommendation there were four manikin articles published on the topic.11–14
What to do if A + B doesn't work
2018, Seminars in Fetal and Neonatal MedicineRespiratory and Cardiovascular Support in the Delivery Room
2018, The Newborn Lung: Neonatology Questions and Controversies, Third Edition