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This maneuver is one of the ways to save the child when he has had a cardiorespiratory arrest.
As it is a baby, few are the people who dare to carry it out for fear of hurting him, however, we must bear in mind that, while the health services arrive to help the baby, it is the only way in which we can really help, and even save the child's life.
It is usually practiced in babies under one year of age, to do it in older children the CPR technique is similar, although with small differences.
The infant cardiopulmonary resuscitation It is also known as Infant CPR.
Most cardiorespiratory arrests are due to choking, suffocation or drowning or flushing, although they are more common among children who already eat solid food, but it can also occur in a baby, in the case of drowning in a pool, for example.
It should be borne in mind that we are maneuvering with the small body of a baby so, whatever we do, we will have to do it with determination and care. do not exert excessive pressure.
Steps to follow to perform CPR on babies:
1- Check the level of consciousness of the baby by calling or shaking him gently, to see if he responds to any stimulus.
2- If the baby does not respond, the first thing to do is notify the emergency services.
3- While help arrives, unlike in children older than one year where the "forehead-chin" maneuver must be performed, in babies this is not necessary, since physiologically the head is larger than the body, and therefore the airways would be open. If we did this maneuver in babies, the opposite effect would occur, we would close the airways.
4- We will check if the baby breathes Through the action "See-hear-feel", placing our cheek next to his mouth and looking towards the thorax, in this way we will feel if he breathes, at the same time we observe if baby's chest rises from breathing. If we see that the baby is not breathing normally, that is when we must continue to ventilate with the "mouth-nose" maneuver.
5- Unlike with older children, the maneuver is "Word of mouth", in the baby you have to do it "mouth nose". We will start with five vents, maintaining the “forehead-chin” maneuver and we will place our mouth over the baby's nose and mouth. Then we breathe in air, not too much, since babies do not have great thoracic capacity, only the air that fits in our mouths.
6- Next, we will continue with some light but firm chest contractions that will help pump blood to the organs and heart. For this we will only use two fingers of the hand, which we will place in the center of the chest, drawing an imaginary line between the two nipples, on the sternum. You must exercise a pressure on the chest about 4 cm approximately, then allowing the natural shape of the thorax to recover.
The rhythm of pressures must be continuous. About 15 chest compressions and 2 ventilations to achieve a rate of 100 beats per minute. One trick to keep up a proper pressure rhythm is to mentally sing Macarena's song.
We must continue the maneuver until someone relieves us, if we are tired, letting the shortest possible time in the relay, or until emergency services arrive, or the baby reacts and breathes without problems, or on the contrary, it has no effect.
Author: Andrea Blanco Ramirez. Nurse at the Puerta de Hierro Hospital.
Co-author: Gonzalo Carrillo de Albornoz Martínez Pantoja.
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