Real-Time Feedback Improves Quality of Chest Compression in Pediatric Cardiopulmonary Resuscitation Training Course
Jui-Hung Tai, Ching-Chia Wang, Frank Leigh Lu, En-Ting WuAbstract
Background:
High-quality cardiopulmonary resuscitation (CPR) is vital for pediatric survival, yet maintaining precision remains difficult even for specialists. This study evaluated the impact of real-time audiovisual feedback on pediatric CPR and identified independent factors influencing performance.
Methods:
This prospective study recruited 110 pediatric intensive care unit providers. Performance data were collected using an infant manikin and a defibrillator system with dual anterior–posterior sensors to eliminate mattress deflection artifacts. “On-target” quality was defined as the simultaneous achievement of American Heart Association-recommended rate (100–120/min) and depth (≥4.0 cm or one-third anterior-posterior diameter). Participants performed two 1-min sessions of compression-only CPR: A baseline session and a subsequent session with real-time visual feedback. Data were analyzed using nonparametric tests and multivariable logistic regression.
Results:
At baseline, performance was suboptimal (0% on-target), with female participants compressing too fast and certified providers performing significantly shallower compressions. With real-time feedback, the median rate was corrected to 110/min, and the median depth increased from 2.2 to 4.0 cm (
Conclusions:
Real-time feedback effectively standardizes CPR quality by eliminating gender and training recency gaps. While it ensures a critical performance baseline, extensive clinical experience remains essential for achieving peak resuscitation quality.