Estimation of anatomical structures underneath the chest compression landmarks in children by using computed tomography

Yoo Seok Park, Incheol Park, Young Jin Kim, Tae Nyoung Chung, Sun Wook Kim, Min Joung Kim, Sung Phil Chung, Hahn Shick Lee

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Objective: There has been little investigation on the appropriateness of the hand position suggested by various guidelines in paediatric cardiopulmonary resuscitation (CPR). We aimed to identify anatomical structures underneath the chest compression landmarks and tried to find the proper hand position using computed tomography (CT) images for more effective paediatric CPR. Patients and methods: This study included a total of 181 paediatric patients who were admitted to Severance Hospital and underwent CTs of chest. We studied structures located under the inter-nipple line and under the lower third of the sternum. The distances from the xiphoid process to the level of the left ventricular outflow tract (LVOT) were measured to find the ceiling on the proper hand position. Results: The LVOT (42.0%) and the root of the aorta (21.5%) were more frequently located than the left ventricle under the inter-nipple line, and the liver was located under the lower third of the sternum in a significant number of patients (28.7%). The LVOT was placed 6.8 ± 13.9. mm below the nipple level, but there was no significant difference in the distance from the nipple level to the LVOT among the age groups (p= 0.517). Conclusions: The hand position at the inter-nipple line might be too high and that at the lower third of the sternum might be too low as it can compress the liver. Further studies are needed to find the proper hand position for more effective chest compression during paediatric CPR.

Original languageEnglish
Pages (from-to)1030-1035
Number of pages6
JournalResuscitation
Volume82
Issue number8
DOIs
Publication statusPublished - 2011 Aug 1

Fingerprint

Nipples
Thorax
Hand
Tomography
Sternum
Cardiopulmonary Resuscitation
Pediatrics
Xiphoid Bone
Liver
Heart Ventricles
Aorta
Age Groups
Guidelines

All Science Journal Classification (ASJC) codes

  • Emergency Medicine
  • Emergency
  • Cardiology and Cardiovascular Medicine

Cite this

Park, Yoo Seok ; Park, Incheol ; Kim, Young Jin ; Chung, Tae Nyoung ; Kim, Sun Wook ; Kim, Min Joung ; Chung, Sung Phil ; Lee, Hahn Shick. / Estimation of anatomical structures underneath the chest compression landmarks in children by using computed tomography. In: Resuscitation. 2011 ; Vol. 82, No. 8. pp. 1030-1035.
@article{9f647b9a447a45c0870daf8426f4205e,
title = "Estimation of anatomical structures underneath the chest compression landmarks in children by using computed tomography",
abstract = "Objective: There has been little investigation on the appropriateness of the hand position suggested by various guidelines in paediatric cardiopulmonary resuscitation (CPR). We aimed to identify anatomical structures underneath the chest compression landmarks and tried to find the proper hand position using computed tomography (CT) images for more effective paediatric CPR. Patients and methods: This study included a total of 181 paediatric patients who were admitted to Severance Hospital and underwent CTs of chest. We studied structures located under the inter-nipple line and under the lower third of the sternum. The distances from the xiphoid process to the level of the left ventricular outflow tract (LVOT) were measured to find the ceiling on the proper hand position. Results: The LVOT (42.0{\%}) and the root of the aorta (21.5{\%}) were more frequently located than the left ventricle under the inter-nipple line, and the liver was located under the lower third of the sternum in a significant number of patients (28.7{\%}). The LVOT was placed 6.8 ± 13.9. mm below the nipple level, but there was no significant difference in the distance from the nipple level to the LVOT among the age groups (p= 0.517). Conclusions: The hand position at the inter-nipple line might be too high and that at the lower third of the sternum might be too low as it can compress the liver. Further studies are needed to find the proper hand position for more effective chest compression during paediatric CPR.",
author = "Park, {Yoo Seok} and Incheol Park and Kim, {Young Jin} and Chung, {Tae Nyoung} and Kim, {Sun Wook} and Kim, {Min Joung} and Chung, {Sung Phil} and Lee, {Hahn Shick}",
year = "2011",
month = "8",
day = "1",
doi = "10.1016/j.resuscitation.2010.11.004",
language = "English",
volume = "82",
pages = "1030--1035",
journal = "Resuscitation",
issn = "0300-9572",
publisher = "Elsevier Ireland Ltd",
number = "8",

}

Estimation of anatomical structures underneath the chest compression landmarks in children by using computed tomography. / Park, Yoo Seok; Park, Incheol; Kim, Young Jin; Chung, Tae Nyoung; Kim, Sun Wook; Kim, Min Joung; Chung, Sung Phil; Lee, Hahn Shick.

In: Resuscitation, Vol. 82, No. 8, 01.08.2011, p. 1030-1035.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Estimation of anatomical structures underneath the chest compression landmarks in children by using computed tomography

AU - Park, Yoo Seok

AU - Park, Incheol

AU - Kim, Young Jin

AU - Chung, Tae Nyoung

AU - Kim, Sun Wook

AU - Kim, Min Joung

AU - Chung, Sung Phil

AU - Lee, Hahn Shick

PY - 2011/8/1

Y1 - 2011/8/1

N2 - Objective: There has been little investigation on the appropriateness of the hand position suggested by various guidelines in paediatric cardiopulmonary resuscitation (CPR). We aimed to identify anatomical structures underneath the chest compression landmarks and tried to find the proper hand position using computed tomography (CT) images for more effective paediatric CPR. Patients and methods: This study included a total of 181 paediatric patients who were admitted to Severance Hospital and underwent CTs of chest. We studied structures located under the inter-nipple line and under the lower third of the sternum. The distances from the xiphoid process to the level of the left ventricular outflow tract (LVOT) were measured to find the ceiling on the proper hand position. Results: The LVOT (42.0%) and the root of the aorta (21.5%) were more frequently located than the left ventricle under the inter-nipple line, and the liver was located under the lower third of the sternum in a significant number of patients (28.7%). The LVOT was placed 6.8 ± 13.9. mm below the nipple level, but there was no significant difference in the distance from the nipple level to the LVOT among the age groups (p= 0.517). Conclusions: The hand position at the inter-nipple line might be too high and that at the lower third of the sternum might be too low as it can compress the liver. Further studies are needed to find the proper hand position for more effective chest compression during paediatric CPR.

AB - Objective: There has been little investigation on the appropriateness of the hand position suggested by various guidelines in paediatric cardiopulmonary resuscitation (CPR). We aimed to identify anatomical structures underneath the chest compression landmarks and tried to find the proper hand position using computed tomography (CT) images for more effective paediatric CPR. Patients and methods: This study included a total of 181 paediatric patients who were admitted to Severance Hospital and underwent CTs of chest. We studied structures located under the inter-nipple line and under the lower third of the sternum. The distances from the xiphoid process to the level of the left ventricular outflow tract (LVOT) were measured to find the ceiling on the proper hand position. Results: The LVOT (42.0%) and the root of the aorta (21.5%) were more frequently located than the left ventricle under the inter-nipple line, and the liver was located under the lower third of the sternum in a significant number of patients (28.7%). The LVOT was placed 6.8 ± 13.9. mm below the nipple level, but there was no significant difference in the distance from the nipple level to the LVOT among the age groups (p= 0.517). Conclusions: The hand position at the inter-nipple line might be too high and that at the lower third of the sternum might be too low as it can compress the liver. Further studies are needed to find the proper hand position for more effective chest compression during paediatric CPR.

UR - http://www.scopus.com/inward/record.url?scp=79960228388&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79960228388&partnerID=8YFLogxK

U2 - 10.1016/j.resuscitation.2010.11.004

DO - 10.1016/j.resuscitation.2010.11.004

M3 - Article

C2 - 21536366

AN - SCOPUS:79960228388

VL - 82

SP - 1030

EP - 1035

JO - Resuscitation

JF - Resuscitation

SN - 0300-9572

IS - 8

ER -