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Literature review suggests AACD could be an alternative CPR in patients with Nuss bar(s). In our model, Nuss bars limited the ability to perform chest compressions due to increased force required to achieve a 5 cm compression. The greater the number of Nuss bars present the greater the force required. This may prevent effective CPR. Use of active abdominal compressions and decompressions should be studied further as an alternative resuscitation modality for patients after the Nuss procedure. In our model, Nuss bars limited the ability t