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Am J Perinatol 2014; 31(03): 245-248
DOI: 10.1055/s-0033-1345261
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Training Neonatal Cardiopulmonary Resuscitation: Can It Be Improved by Playing a Musical Prompt? A Pilot Study

Simone K. Dold
1   Department of Neonatology, Charité University Medical Centre, Berlin, Germany
,
Georg M. Schmölzer
2   Neonatal Research Unit, The Royal Women's Hospital, Melbourne, Australia
3   Neonatal Research Unit, Royal Alexandra Hospital, Edmonton, Canada
4   Division of Neonatology, Department of Paediatrics, Medical University Graz, Austria
,
Marcus Kelm
1   Department of Neonatology, Charité University Medical Centre, Berlin, Germany
,
Peter G. Davis
2   Neonatal Research Unit, The Royal Women's Hospital, Melbourne, Australia
5   Department of Obstetrics and Gynaecology, The University of Melbourne, Australia
,
Gerd Schmalisch
1   Department of Neonatology, Charité University Medical Centre, Berlin, Germany
,
Charles Christoph Roehr
1   Department of Neonatology, Charité University Medical Centre, Berlin, Germany
2   Neonatal Research Unit, The Royal Women's Hospital, Melbourne, Australia
6   The Ritchie Center, Monash University, Melbourne, Australia
› Author Affiliations
Further Information

Publication History

19 December 2012

02 April 2013

Publication Date:
21 May 2013 (online)

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Abstract

Objective 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.

Study Design 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.

Results 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%.

Conclusion Listening to an auditory prompt improved compliance with the recommended delivery rates of CC and MI during neonatal CPR.

Keywords

neonate - cardiopulmonary resuscitation (CPR) - chest compression - auditory prompt - music - training
 

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