Characterization of Infant Cardiopulmonary Resuscitation Delivery with Range Sensor Feedback on Performance

Farah M Alkhafaji,Ghaidaa A Khalid,Basheer M Hussein,Ali Al-Naji,Javaan Chahl

doi:10.3390/app11219813

Abstract

Cardiac arrest (CA) in infants is an issue worldwide, which causes significant morbidity and mortality rates. Cardiopulmonary resuscitation (CPR) is a technique performed in case of CA to save victims’ lives. However, CPR is often not performed effectively, even when delivered by qualified rescuers. Therefore, international guidelines have proposed applying a CPR feedback device to achieve high-quality application of CPR to enhance survival rates. Currently, no feedback device is available to guide learners through infant CPR performance in contrast to a number of adult CPR feedback devices. This study presents a real-time feedback system to improve infant CPR performance by medical staff and laypersons using a commercial CPR infant manikin. The proposed system uses an IR sensor to compare CPR performance obtained with no feedback and with a real-time feedback system. Performance was validated by analysis of the CPR parameters actually delivered against the recommended target parameters. Results show that the real-time feedback system significantly improves the quality of chest compression parameters. The two-thumb compression technique is the achievable and appropriate mechanism applied to infant subjects for delivering high-quality CPR. Under the social distancing constraints imposed by the SARS-CoV-2 pandemic, the results from the training device were sent to a CPR training center and provided each participant with CPR proficiency.

Highlights

Cardiac arrest (CA) is an issue for infants around the world, which causes undesirable morbidity and mortality rates
It is essential to perform cardiopulmonary resuscitation (CPR) as quickly after arrest as possible, because when cardiac arrest occurs, oxygen is no longer circulated to the brain tissues, which will result in the loss of brain function [1]
Infant CPR training is usually performed without a feedback system, which may cause poor CPR performance delivered by rescuers in comparison to the adequate numbers of adult CPR feedback systems

Summary

Introduction

Cardiac arrest (CA) is an issue for infants around the world, which causes undesirable morbidity and mortality rates. The CPR process involves performing alternating chest compression (CC) and artificial ventilation to physically preserve the full function of the brain of a subject who has cardiac arrest [1,2,3]. It is essential to increase the cardiac arrest survival rate of infant populations. In terms of increasing the infant survival rate from cardiac arrest, significant studies and research has been undertaken by specialists working in CPR, who have presented CPR standards and recommendations.

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Conclusion