1777 A Musical Mnemonic Improves the Control of Chest Compressions and Manual Ventilation During Simulated Neonatal Cardiopulmonary Resuscitation (CPR). (October 2012)

• Record Type: Journal Article
• Authors: Dold, SK; Kelm, M; Schmölzer, G; Dawson, J; Davis, PG; Schmalisch, G; Roehr, CC
• Is Part Of: Archives of disease in childhood. Volume 97(2012)Supplement 2
• Page Start: A502
• Page End: A503
• Publication Date: 2012-10
• Subjects: Children -- Diseases -- Periodicals; Infants -- Diseases -- Periodicals; 618.920005
• DOI: 10.1136/archdischild-2012-302724.1777
• Languages: English
• ISSNs: 0003-9888

Abstract

Abstract : Introduction: Guidelines on neonatal cardiorespiratory resuscitation (CPR) suggest the provision of coordinated compressions to inflations at a rate of 3:1. However, manikin studies, and human trials have shown that coordinated chest compression/manual ventilation is difficult to achieve. In a manikin study, we aimed to investigate how music might help to control CPR in neonates. Methods: 36 medical professionals were trained in neonatal resuscitation with and without listening to music (Radetzky-Marsch). CPR was performed using a neonatal lung model and a T-piece resuscitator for manual ventilation. Chest compressions were counted using a mechanical tally counter and the rate of inflations were recorded using a respiratory monitor. Results: A total of 2514 inflations and 7678 chest compressions were analysed, with a median (interquartile range, IQR) number of chest compressions of 213 (196–229) and 70 (66–76) inflations per participant. Without music the median (IQR) rate of chest compressions was 115 (100–129)/min and the rate of inflations was 38 (32–42)/min. While listening to the Radetzky-Marsch the rate of chest compressions decreased significantly to 96 (96–100)/min (p=0.002) and the rate of inflations decreased to 32 (30–34)/min (p=0.001). Furthermore, with music the IQR of chest compression rate decreased by 86% and the IQR inflation rate by 60%. Conclusion: A musical mnemonic has a significant impact on the delivery of neonatal CPR. Listening to music optimizes the rate of chest compressions and inflations and reduces the variability between individuals.