What is a special consideration for defibrillation in infants less than 1 year of age?

In the context of defibrillation for infants less than 1 year of age, the use of a manual defibrillator is preferred because it allows for more precise control over the delivery of energy. Infants have different physiological needs compared to older children and adults, and a manual defibrillator enables healthcare providers to administer the appropriate dose of energy that is tailored for infants, ensuring the shock is both effective and minimizes the risk of harm.

Additionally, while an automated external defibrillator (AED) can be used if it has specific pediatric pads and settings, a manual defibrillator gives experienced providers the ability to adjust the energy levels based on the clinical situation and potentially utilize specific rhythms for coordinated care. This approach maximizes the chances of a favorable outcome, as it accounts for the delicate nature of younger patients' hearts and bodies.

In contrast, using adult pads or energy levels would not be appropriate for infants and could lead to ineffective treatment. Therefore, the choice of a manual defibrillator aligns with best practices for pediatric resuscitation in these younger patients.