Specificity and sensitivity of automated external defibrillator rhythm analysis in infants and children

Kurzdarstellung

“…Falls kein manueller Defibrillator verfügbar ist, verwenden Sie einen AED, der pädiatrische defibrillierbare Herzrhythmen erkennt [621][622][623]. Der AED soll mit einem Leistungsminderer ausgestattet sein, der die abgegebene Energie auf eine für Kinder im Alter von 1-8 Jahren besser geeignete Dosis reduziert (50-75 J) [ …”

Accurate Detection of Paediatric Ventricular Tachycardia in AED

“…Each AED manufacturer compiles its own data, which must include paediatric rhythms if the AED will be used to treat children. However, the studies describing paediatric databases (Atkins et al, 2008;Atkinson et al, 2003;Cecchin et al, 2001) report fewer shockable rhythms than those specified in the AHA statement because paediatric ventricular arrhythmias are scarce.…”

“…Adapting these algorithms for paediatric use requires the compilation of shockable and nonshockable rhythms from paediatric patients in order to assess their SAA performance. The first studies on the use of AED in children showed that two adult SAAs from commercial AED accurately identified many paediatric rhythms (Atkinson et al, 2003;Cecchin et al, 2001). The specificity for nonshockable rhythms and the sensitivity for VF were above the values recommended by the AHA.…”

“…The most common cause of cardiac arrest in children is respiratory arrest, although the incidence of cardiac arrest caused by ventricular arrhythmias increases with age (Appleton et al, 1995;Atkins et al, 1998). Initially two independent studies provided evidence for the use of AED in paediatric patients (Atkinson et al, 2003;Cecchin et al, 2001). Based on that evidence, in 2003, the International Liaison Committee on Resuscitation (ILCOR) recommended the use of AED in children aged 1-8 years (Samson et al, 2003).…”

Response to Cardiac Arrest and Selected Life-Threatening Medical Emergencies

“…Two of these devices have been shown to accurately identify VF and rapid VT in young children and are also accurate in identifying pediatric rhythms that do not require defibrillation. 32,33 When used with a designated pediatric pad-cable system, these AEDs deliver an energy dose that is smaller than that delivered with adult pads. The AHA 2 and the National Association of EMS Physicians 4 state that AEDs may be used with CPR for treatment of prehospital cardiac arrest (victims who are unresponsive, with no breathing and no signs of circulation) in children 1 to 8 years of age.…”