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Is optimal paddle force applied during paediatric external defibrillation?

Is optimal paddle force applied during paediatric external defibrillation?
Is optimal paddle force applied during paediatric external defibrillation?
Introduction: Optimal paddle force minimises transthoracic impedance; a factor associated with increased defibrillation success. Optimal force for the defibrillation of children ?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.
0300-9572
29-32
Bennetts, Sarah H.
415c3291-32df-44e2-acbc-b6ca64240eb7
Deakin, Charles D.
560d993b-bbc9-4548-9990-272ed18a011d
Petley, Graham W.
4f2da40b-3c7b-4adc-b75c-e24e62bb1cf0
Clewlow, Frank
94c8568b-d5ea-4446-a712-4fa1560895c2
Bennetts, Sarah H.
415c3291-32df-44e2-acbc-b6ca64240eb7
Deakin, Charles D.
560d993b-bbc9-4548-9990-272ed18a011d
Petley, Graham W.
4f2da40b-3c7b-4adc-b75c-e24e62bb1cf0
Clewlow, Frank
94c8568b-d5ea-4446-a712-4fa1560895c2

Bennetts, Sarah H., Deakin, Charles D., Petley, Graham W. and Clewlow, Frank (2004) Is optimal paddle force applied during paediatric external defibrillation? Resuscitation, 60 (1), 29-32. (doi:10.1016/j.resuscitation.2003.09.001). (PMID:14987780)

Record type: Article

Abstract

Introduction: Optimal paddle force minimises transthoracic impedance; a factor associated with increased defibrillation success. Optimal force for the defibrillation of children ?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.

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Published date: January 2004
Organisations: Clinical & Experimental Sciences

Identifiers

Local EPrints ID: 383372
URI: https://eprints.soton.ac.uk/id/eprint/383372
ISSN: 0300-9572
PURE UUID: c00b9e84-276e-4f92-a933-32362f18d756
ORCID for Graham W. Petley: ORCID iD orcid.org/0000-0002-3295-0444

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Date deposited: 25 Jan 2016 15:12
Last modified: 06 Jun 2018 13:01

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