Department of Neonatology, Charité University Medical Centre, Berlin, Germany.
Neonatal Research Unit, The Royal Women's Hospital, Melbourne, Australia.
Am J Perinatol. 2014 Mar;31(3):245-8. doi: 10.1055/s-0033-1345261. Epub 2013 May 21.
Effective neonatal cardiopulmonary resuscitation (CPR) requires 3:1 coordinated manual inflations (MI) and chest compressions (CC). We hypothesized that playing a musical prompt would help coordinate CC and MI during CPR.
In this pilot trial we studied the effect the "Radetzkymarsch" (110 beats per minute) on neonatal CPR. Thirty-six medical professionals performed CPR on a neonatal manikin. CC and MI were recorded with and without the music played, using a respiratory function monitor and a tally counter. Statistical analysis included Wilcoxon test.
Without music, the median (interquartile range) rate of CC was 115 (100 to 129) per minute and the rate of MI was 38 (32 to 42) per minute. When listening to the auditory prompt, the rate of CC decreased significantly to 96 (96 to 100) per minute (p = 0.002) and the rate of MI to 32 (30 to 34) per minute (p = 0.001). The interquartile range of interoperator variability decreased up to 86%.
Listening to an auditory prompt improved compliance with the recommended delivery rates of CC and MI during neonatal CPR.
有效的新生儿心肺复苏（CPR）需要 3:1 协调的手动通气（MI）和胸外按压（CC）。我们假设播放音乐提示会有助于协调 CPR 期间的 CC 和 MI。
在这项初步试验中，我们研究了“拉德茨基进行曲”（110 拍/分钟）对新生儿 CPR 的影响。36 名医疗专业人员对新生儿模型进行了 CPR。使用呼吸功能监测仪和计数器记录有无音乐时的 CC 和 MI。统计分析包括 Wilcoxon 检验。
没有音乐时，CC 的中位数（四分位间距）为 115（100 至 129）次/分钟，MI 的频率为 38（32 至 42）次/分钟。当听听觉提示时，CC 的频率显著下降至 96（96 至 100）次/分钟（p = 0.002），MI 的频率降至 32（30 至 34）次/分钟（p = 0.001）。操作者间变异性的四分位间距下降了 86%。
听听觉提示可提高新生儿 CPR 时 CC 和 MI 推荐输送率的依从性。
