1 / 21

Chest compressions

Chest compressions. Indication. If after 30 seconds of effective bag and mask ventilation with 100% oxygen, heart rate is below 60 per minute. When to stop chest compressions. When heart rate is 60 per minute or more. Principle.

Download Presentation

Chest compressions

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Chest compressions

  2. Indication • If after 30 seconds of effective bag and mask ventilation with 100% oxygen, heart rate is below 60 per minute

  3. When to stop chest compressions • When heart rate is 60 per minute or more

  4. Principle • Pump out blood from the heart during compression and fill up blood in the heart during release • Must always be accompanied by ventilation with 100% oxygen

  5. Mechanism of Chest Compressions CompressRelease sternum heart heart

  6. Components • Position • Neck slightly extended with firm support for the back • Lower 1/3rd of sternum between nipple line & sternum • Pressure required – depth • 1/3rd of the AP diameter of chest • Rate • 90/min

  7. Chest Compressions Position • Lower third of sternum • Between nipple line and xiphisternum

  8. Thumb method Two-finger method Techniques of Chest Compressions

  9. Techniques • Thumb technique • Two-finger technique # Do not remove thumbs/finger from chest

  10. Thumb technique • Thumbs on sternum, hands on torso & finger supporting the back • Thumbs flexed at the first joint • Pressure applied vertical

  11. Chest Compressions

  12. 2-finger technique • Easier with right hand for right handed • Index and middle or ring fingers • Other hand used to support the back • Pressure applied vertically

  13. Chest Compressions

  14. Preferred method - thumb • Advantages • Better control of depth • Less tiring • Superior generation of peak systolic & coronary perfusion pressure • Nails do not hinder performance • Disadvantages • Difficult when baby is big • Umbilicus difficult to cannulate.

  15. Compression • One compression consists downward compression plus the release • Actual distance is not a number but depends on size of baby • Duration of the downward stroke should be shorter than release to produce max COP

  16. Rate & adequacy Rate • 3 CC then 1 ventilation (1:3) • 90 CC to 30 ventilation in one minute Adequacy • Palpate femoral/carotid pulse

  17. Cycle of events • One – and – two –and – three – and – breathe – and • Consists of 3 compression & one ventilation • 120 events in 60 seconds • 1 cycles in 2 seconds

  18. Chest Compressions Dangers • Broken ribs • Lacerated liver • Pneumothorax Precautions • No pressure on the ribs, xiphisternum, abdomen • Do not lift thumbs/fingers

  19. Evaluation after 30 sec of CC & BMV • HR 60 per minute or more Stop CC, continue BMV at 40-60/min • If no improvement, check : • Effectiveness of BMV • Oxygen is 100% • Technique of CC is correct

  20. Key points • When to do? • Why to do ? • How to do? • Which is best ? • When to stop ? • What if fails ?

More Related