Pad size, orientation, and placement for defibrillation during basic life support: A systematic review.

ABSTRACT:

Aim

To evaluate the impact of defibrillation pad size, orientation, and position on clinical outcomes in adult and paediatric cardiac arrest with a shockable rhythm through a systematic review of available evidence.

Methods

A systematic review was registered with PROSPERO (CRD42024512443). Searches were performed across PubMed, EMBASE, and the Cochrane Library up to March 31st, 2025. Studies involving adults or children with cardiac arrest and comparing pad sizes or positions were included. Risk of bias was assessed using the RoB 2.0 and ROBINS-I tools, and the certainty of evidence was evaluated using GRADE methodology.

Results

Of 7855 screened studies, four met inclusion criteria, e.g. 1 randomized clinical trial (RCT) and 3 observational studies in adults, covering

SUBMITTER: Ristagno G 

PROVIDER: S-EPMC12309583 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature