Change search
ReferencesLink to record
Permanent link

Direct link
Association of arterial blood pressure and CPR quality in a child using three different compression techniques, a case report
Show others and affiliations
2013 (English)In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, ISSN 1757-7241, Vol. 21, 51- p.Article in journal (Refereed) Published
Abstract [en]

A 2-year-old boy found in cardiac arrest secondary to drowning received standard CPR for 35 minutes and was transported to a tertiary hospital for rewarming from hypothermia. Chest compressions in hospital were started using two-thumb encircling hands technique. Subsequently two-thumbs direct sternal compression technique and after sternal force/depth sensor placement, chest compression with classic one-hand technique were done. By using CPR recording/feedback defibrillator, quantitative CPR quality data and invasive arterial pressures were available for analyses for 5 hours and 35 minutes. 316 compressions with the two-thumb encircling hands technique provided a mean (SD) systolic arterial pressure (SAP) of 24 (4) mmHg, mean arterial pressure (MAP) 18 (3) and diastolic arterial pressure (DAP) of 15 (3) mmHg. similar to 6000 compressions with the two thumbs direct compression technique created a mean SAP of 45 (7) mmHg, MAP 35 (4) mmHg and DAP of 30 (3) mmHg. similar to 20,000 compressions with the sternal accelerometer in place produced SAP 50 (10) mmHg, MAP 32 (5) mmHg and DAP 24 (4) mmHg. Restoration of spontaneous circulation (ROSC) was achieved at the point when the child achieved normothermia by using peritoneal dialysis. Unfortunately, the child died ten hours after ROSC without any signs of neurological recovery. This case demonstrates improved hemodynamic parameters with classic one-handed technique with real-time quantitative quality of CPR feedback compared to either the two-thumbs encircling hands or two-thumbs direct sternal compression techniques. We speculate that the improved arterial pressures were related to improved chest compression depth when a real-time CPR recording/feedback device was deployed.

Place, publisher, year, edition, pages
2013. Vol. 21, 51- p.
Keyword [en]
Cardiac Arrest, Child, Quality, CPR
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-206450DOI: 10.1186/1757-7241-21-51ISI: 000322409900001OAI: diva2:644661
Available from: 2013-09-01 Created: 2013-08-30 Last updated: 2013-09-01Bibliographically approved

Open Access in DiVA

fulltext(456 kB)93 downloads
File information
File name FULLTEXT01.pdfFile size 456 kBChecksum SHA-512
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Search in DiVA

By author/editor
Tenhunen, Jyrki
By organisation
Anaesthesiology and Intensive Care
In the same journal
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 93 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 300 hits
ReferencesLink to record
Permanent link

Direct link