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Infant CPR – are we really as good as we think?
Brayden Baby Advanced
Brayden Baby is the first infant CPR manikin with real-time visual feedback using intuitive lights for good quality ventilations and chest compressions.
CPR for an infant differs from CPR performed on an older child or adult. Due to a small mouth and airway, a small body with a relatively large tongue and occiput, delicate lungs and more fragile but flexible ribs compared to an adult, resuscitating an infant requires more nuanced CPR skills. Brayden Baby has been designed to teach these skills.
Lighting the way to Quality CPR​
The Brayden Baby is a very useful manikin for teaching good quality infant CPR according to current Guidelines. It has evidently been designed with help from experts! The lights on the manikin give excellent intuitive real-time feedback to help guide the student to perform correct ventilation technique and good quality chest compressions – essential in real life to help optimise survival. The Brayden Baby manikin, in my opinion, is unique in its ability to do this.
Prof. Patrick Van de Voorde
Paediatrician and Clinical Head of Emergency MedicineUniversity Hospital Ghent, Belgium
Infant Ventilation
Ventilating an infant correctly involves the correct airway position (neutral) and the appropriate delivered ventilation volume. The Brayden Baby CPR manikin provides real-time feedback of performance to ensure good quality ventilation.
The appropriate ventilation volume for an infant of similar size to the Brayden Baby CPR training manikin is 30ml to 50ml. Ventilation indication Lights on the Brayden Baby indicate the volume of air being delivered and if it is being delivered with excessive force.
The lung shaped ventilation indication light illuminates when a correct ventilation volume is delivered.
Repeated flashing indicates if excessive ventilation volume is delivered.
Double flash indicates air is delivered too quickly (less than 1 second).
Correct head and airway position
The Brayden Baby CPR manikin allows trainees to practice the ‘Jaw Thrust / Lift’ manoeuvre. For normal ventilation of an infant it is important that the head is positioned in the ‘neutral’ position to open the airway.
Hyper-extension of the head (tilting head back) is inappropriate for infant ventilations as is flexion (head tilted forwards). The Brayden Baby head realistically positions itself in flexion due to the large occiput, so the student needs to actively move the head into the correct neutral position to open the airway.
The jaw mechanism has been designed to mimic the action of a real baby for an accurate jaw thrust / lift manoeuvre.
The airway is only open when the head is positioned in the correct ‘neutral’ position.
Correct Compressions
The real-time feedback from the lights of the Brayden Baby allows good quality chest compressions to be performed.
Guideline configuration: Correct compression depth is at least 1/3rd of the AP (Anterior, Posterior) depth of the chest (4cm) at a rate of 100 to 120 per minute.
The manikin’s forehead light illuminates if Guideline compliant CPR is being performed:
- Correct depth
- Correct rate
- Correct release / recoil
- Correct finger / thumb position
Compression depth for infants should be 1/3rd of the AP distance (4cm).
Compression depth for infants should be at least 1/3rd of the AP distance (4cm).
Compression rate should be 100 – 120 per minute. The side head lights will flash quickly if you compress over 120 per minute. The side head lights will flash slowly if you compress below 100 per minute.
The Brayden Baby will emit lights on the chest and on the sides head, however the head will not light up. Readjust your finger/thumb positioning or ensure you’re doing a complete release/recoil between compressions.
Did you know....
Brayden Baby can also be used for Newborn Life Support (NLS) programs as well as Paediatric BLS.
You can also run an infant cardiac arrest scenario. The manikin’s brachial pulse (left arm) simulates the need for chest compressions on an infant with a bradycardic pulse rate.
