• Simone K Dold, Georg M Schmölzer, Marcus Kelm, Peter G Davis, Gerd Schmalisch, and Charles Christoph Roehr.
• Department of Neonatology, Charité University Medical Centre, Berlin, Germany.
• Am J Perinatol. 2014 Mar 1;31(3):245-8.

ObjectiveEffective 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 DesignIn 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.ResultsWithout 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%.ConclusionListening to an auditory prompt improved compliance with the recommended delivery rates of CC and MI during neonatal CPR.Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

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