Comparison of times of intervention during pediatric CPR maneuvers using ABC and CAB sequences: a randomized trial

Resuscitation
R LubranoM Elli

Abstract

The proposed introduction of the CAB (circulation, airway, breathing) sequence for cardiopulmonary resuscitation has raised some perplexity within the pediatric community. We designed a randomized trial intended to verify if and how much timing of intervention in pediatric cardiopulmonary resuscitation is affected by the use of the CAB vs. the ABC (airway, breathing, circulation) sequence. 340 volunteers, paired into 170 two-person teams, performed 2-rescuer healthcare provider BLS with both a CAB and ABC sequence. Their performances were audio-video recorded and times of intervention in the two scenarios, cardiac and respiratory arrest, were monitored. The CAB sequence compared to ABC prompts quicker recognition of respiratory (CAB vs. ABC=17.48 ± 2.19 vs. 19.17 ± 2.38s; p<0.05) or cardiac arrest (CAB vs. ABC=17.48 ± 2.19 vs. 41.67 ± 4.95; p<0.05) and faster start of ventilatory maneuvers (CAB vs. ABC=19.13 ± 1.47s vs. 22.66 ± 3.07; p<0.05) or chest compressions (CAB vs. ABC=19.27 ± 2.64 vs. 43.40 ± 5.036; p<0.05). Compared to ABC the CAB sequence prompts shorter time of intervention both in diagnosing respiratory or cardiac arrest and in starting ventilation or chest compression. However, this does not necessarily entail prom...Continue Reading

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Citations

Nov 12, 2015·Anesthesia and Analgesia·Elisabeth HörnerBernhard Rössler
Jun 19, 2013·The American Journal of Emergency Medicine·Hiroshi SekiguchiIchiro Kukita
Oct 20, 2015·Resuscitation·Koenraad G MonsieursUNKNOWN ERC Guidelines 2015 Writing Group
Oct 20, 2015·Resuscitation·Ian K MaconochieUNKNOWN Paediatric life support section Collaborators
Oct 20, 2015·Resuscitation·Gavin D PerkinsUNKNOWN Adult basic life support and automated external defibrillation section Collaborators
Oct 20, 2015·Resuscitation·Ian K MaconochieUNKNOWN Pediatric Basic Life Support and Pediatric Advanced Life Support Chapter Collaborators
Apr 22, 2015·Der Anaesthesist·M P MüllerJ Wnent
Apr 25, 2016·Revista Española De Cardiología·Ignacio Fernández LozanoEsteban López de Sá
Oct 19, 2016·Clinical and Experimental Emergency Medicine·Ji Sook LeeSung Oh Hwang
Aug 5, 2017·Pediatric Emergency Care·Carson Gill, Niranjan Kissoon
Jan 1, 2015·Notfall & Rettungsmedizin·G D PerkinsJ Soar
Jan 1, 2017·Notfall & Rettungsmedizin·G D PerkinsJ Soar

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