A randomized comparison of three chest compression techniques and associated hemodynamic effect during infant CPR: A randomized manikin study

Smereka, Jacek; Szarpak, Łukasz; Rodrı́guez-Núñez, Antonio; Ładny, Jerzy Robert; Leung, Steve; Ruetzler, Kurt

doi:10.1016/j.ajem.2017.04.024

Cited by 37 publications

(39 citation statements)

References 29 publications

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“…The study is a continuation of the research conducted by the authors on improving the quality of CCs during pediatric resuscitation [18,[20][21][22][23][24] in various study groups and settings.…”

Section: Study Design and Selection Of Participantsmentioning

confidence: 99%

“…allowing to overcome problems with the rescuer hand size in TTHT. The initial results of NTTT applied by different medical personnel in different settings and manikins prove that NTTT offers superior hemodynamic parameters than TTHT, as well as better median CC depth and degree of full chest recoil in 2-and 10-min neonatal and infant resuscitation [23,24].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of two infant chest compression techniques during simulated newborn cardiopulmonary resuscitation performed by a single rescuer: A randomized, crossover multicenter trial

2020

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Section: Study Design and Selection Of Participantsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of two infant chest compression techniques during simulated newborn cardiopulmonary resuscitation performed by a single rescuer: A randomized, crossover multicenter trial

2020

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“…In a prospective cross over RCT, 42 paramedics performed two‐finger CPR, two‐thumb chest‐encircling CPR and a new two‐thumb CPR technique, in which both thumbs are held at 90° to the chest with the fists enclosed and above the chest, on infant manikins. The new technique produced better systolic, diastolic and mean arterial pressures with a more sustained response over 10 min of CPR . Although limited by the simulation design, this study helps challenge current international guidelines, including what we teach on APLS courses.…”

Section: Communication Tips and Trapsmentioning

confidence: 92%

“…The new technique produced better systolic, diastolic and mean arterial pressures with a more sustained response over 10 min of CPR. 5 Although limited by the simulation design, this study helps challenge current international guidelines, including what we teach on APLS courses.…”

mentioning

confidence: 99%

Paediatric acute care: Highlights from the Paediatric Acute Care–Advanced Paediatric Life Support Conference, Gold Coast, 2017

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Acworth

2018

Emerg Medicine Australasia

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“…There are also several modifications of the presented techniques, including the two-thumb technique developed by Smereka et al [13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Which position should we take during newborn resuscitation? A prospective, randomised, multicentre simulation trial

et al. 2018

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A b s t r a c tBackground: Early bystander cardiopulmonary resuscitation (CPR) for cardiac arrest is crucial in the chain of survival. Cardiac arrest in infants is rare, but CPR is also performed in severe bradycardia. European Resuscitation Council and American Heart Association guidelines recommend continuing CPR until the heart muscle is sufficiently oxygenated and regains sufficient contractility and function. The most common and recommended CPR techniques that can be applied in newborns are the two-finger technique and two-thumb technique. Aim:We sought to assess the quality of CPR performed in newborns with the two-finger technique depending on the position of the rescuer during resuscitation. Methods:This was a prospective, randomised, crossover, simulated study. It involved 93 nurses who were required to perform a two-minute CPR using the two-finger technique in three scenarios: (A) with the newborn lying on the floor; (B) on a table; and (C) with the newborn on the rescuer's forearm. The Newborn Tory ® S2210 manikin was used to simulate a neonatal patient in cardiac arrest. The following parameters were measured: chest compression (CC) depth, CC rate, no-flow time, percentage of full release, ventilation rate, and ventilation volume, as well as the number of effective compressions and effective ventilations.Results: Statistical analysis showed significant differences in CC rates between scenarios A and B (p < 0.001) and between scenarios B and C (p = 0.002). Significant differences were also observed between the median CC depth. The median percentage of no-flow-fraction was the highest for scenario A (55%), followed by scenario B (48%), and scenario C (46%). There were significant differences between the values of no-flow-fraction between scenarios A and B (p < 0.001), and between scenarios A and C (p < 0.001). The percentage of chest full releases for scenarios A, B, and C amounted to 94%, 1%, and 92%, respectively. Significant differences in the number of effective CCs between scenarios A and B (p < 0.001) as well as B and C (p < 0.001) were revealed. The median ventilation rate was highest for scenario B (13 × min ). The highest tidal volume was obtained in scenario A (27 mL), and the lowest in scenario C (26 mL). The most effective CPR was performed when resuscitation was carried out on the rescuer's forearm. Conclusions:The quality of CCs in newborns depends on the location of the patient and the rescuer. The optimal form of resuscitation of newborns is resuscitation on the rescuer's forearm.

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A randomized comparison of three chest compression techniques and associated hemodynamic effect during infant CPR: A randomized manikin study

Cited by 37 publications

References 29 publications

Comparison of two infant chest compression techniques during simulated newborn cardiopulmonary resuscitation performed by a single rescuer: A randomized, crossover multicenter trial

Comparison of two infant chest compression techniques during simulated newborn cardiopulmonary resuscitation performed by a single rescuer: A randomized, crossover multicenter trial

Paediatric acute care: Highlights from the Paediatric Acute Care–Advanced Paediatric Life Support Conference, Gold Coast, 2017

Which position should we take during newborn resuscitation? A prospective, randomised, multicentre simulation trial

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