When would it be most appropriate to use a smaller "pediatric" sized paddles for shock delivery? Pediatric defibrillation: Importance of paddle size in determining transthoracic impedance. 45. Turn on the defibrillator and enter the Manual Defib mode. Hospital Electrodes and Paddles. Use the largest paddle surface, which makes complete contact with the patient. Paddles/pads of 10–13 cm optimally reduce transthoracic impedance. Over Molded Internal Electrode Paddles, 2.0" (5.1 cm) Dia. If the patient weighs less than approximately 10kg or is less than 1 years of age. Pediatric defibrillation: Current flow is improved by using "adult" paddle electrodes. Effectiveness of direct current defibrillation: role of paddle electrode size. Pediatrics 1988;82:914-8. Entire paddle should make complete contact with patient. Crossref Medline Google Scholar; 43. Atkins DL, Kerber RE. Paddle Size • Adult – large paddles 10-13 cm diameter • Pediatric – small paddles Infant <10kgs – 3-4.5cm >10kgs – 8-10cm 19. 5.0. We compared defibrillation paddle force applied during simulated paediatric defibrillation with these optimal values. You are preparing to use a manual defibrillator and paddles in the pediatric setting. Pediatric defibrillation: current flow is improved by using “adult” electrode paddles. Steps of Defibrillation:- Squeeze the generous amount of jelly onto the paddles by rubbing together. Apply appropriate size paddles. Anterior-posterior placement used in children with adult paddle 18. z Check paddle handles, cables and connectors for damaged pins or material deterioration. 1977; 93:463–467. 1994; … Am Heart J. Lowest acceptable SBP for patients older than 1 yr = 70+ (2 x age in years) Cardiac arrest in the pediatric patient is also commonly due to progressive shock. Apply conductive medium. External standard defibrillator (manual or semiautomated) and 2 paddles of the correct sizes with conductive pads. Atkins DL, Sirna S, Kieso R, Charbonnier F, Kerber RE. Turn on the monitor / defibrillator. 44. O2 sat: 95-100% (on room air) BE +/- 1. DEFIBRILLATION: Confirm the patient is unresponsive and pulseless. Position paddles. Paddle/ pad size. Pediatrics 1994;94:90-3. Atkins DL, Kerber RE. 11131-000010 ... manual defibrillation; Vhs format supports former aha Guidelines 2000 Protocols Connect the paddles to the defibrillator by aligning the white pointer on the paddles cable with the arrow on the therapy port. By 7.4" (18.7 cm)(Replaces 8000-0035) Long Pair, Pediatric SKU : 8000-0277-04 Circulation 1991; 83: 614-621. removable to reveal pediatric paddles 11130-000037 Adult Hard Paddle Plate Replacement ... Internal Paddles 1" size (6.25" shaft length), 1 pair, requires internal Paddle handles. Ensure synchronizer is turned off. Transthoracic impedance seems to be similar whether gel pads or MFE pads are used. Function Check 1. Select the appropriate paddle size. Choose OneStep Complete Electrodes for adult patients or OneStep Pediatric CPR electrodes for patients under 8 … 2. All of ZOLL's OneStep™ resuscitation electrodes incorporate features that speed defibrillation, ensure code-readiness, and simplify resuscitation. 65 Atkins D, Sirna S, Kieso R, Charbonnier F, Kerber R. Pediatric defibrillation: importance of paddle size in determining transthoracic impedance. larger size associated with higher success rates and less myocardial damage. 3. It is important to be familiar with your institution's equipment because there are many different types and models of machines. For infants, use the smallest size (usually measuring 4.5 cm). Pediatrics. Pediatrics 1988; 82: 914-918.