Two new chest compression methods might challenge the standard in a simulated infant model

Rodríguez-Ruiz, Emilio; Martínez-Puga, Ainhoa; Carballo‐Fazanes, Aida; Abelairas‐Gómez, Cristian; Rodrı́guez-Núñez, Antonio

doi:10.1007/s00431-019-03452-2

Cited by 13 publications

(7 citation statements)

References 26 publications

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“…This scoping review confirmed that two-thumb-techniques resulted in improved CC depth, lower fatigue and higher proportion of correct hand placement compared with two-finger technique 36 39–41 45. Furthermore, several alternative finger and/or hand position techniques during CC have been examined 42–51 53–57 60 88. These newer CC techniques resulted in similar performance measures when compared with the two-thumb-technique.…”

Section: Discussionmentioning

confidence: 61%

“…Thirty-one studies (29 randomised crossover manikin studies34–62 and 2 clinical trials63 64) compared various finger/hand positions and the use of assistive compression devices (table 2, figure 2).…”

Section: Resultsmentioning

confidence: 99%

“…Several manikin studies examined alternative finger/hand position techniques, including (1) novel two-thumb technique,54–60 (2) vertical thumb technique,51 (3) ‘knocking finger’ technique,48 50 (4) pinched finger technique,49 (5) flexed two-finger technique46 and (6) thumb and index finger technique62 (table 2, figure 2). The ‘knocking finger’ is a novel single-hand technique with the thumb behind the middle phalanx of the index finger, which is then placed on the chest perpendicular to the sternum 48 50. Studies reported either improved or similar CC performance, CC depth, correct finger placement, participant satisfaction and fatigue.…”

Section: Resultsmentioning

confidence: 99%

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Chest compressions in newborn infants: a scoping review

Ramachandran

Bruckner

Wyckoff

et al. 2022

Arch Dis Child Fetal Neonatal Ed

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AimThe International Liaison Committee on Resuscitation Neonatal Life Support Task Force undertook a scoping review of the literature to identify evidence relating to neonatal cardiopulmonary resuscitation.MethodsMEDLINE complete, EMBASE and Cochrane database of Systematic reviews were searched from inception to November 2021. Two authors screened titles and abstracts and full text reviewed. Studies were eligible for inclusion if they were peer-reviewed and assessed one of five aspects of chest compression in the newborn infant including: (1) heart rate thresholds to start chest compressions (CC), (2) compression to ventilation ratio (C:V ratio), (3) CC technique, (4) oxygen use during CC and 5) feedback devices to optimise CC.ResultsSeventy-four studies were included (n=46 simulation, n=24 animal and n=4 clinical studies); 22/74 were related to compression to ventilation ratios, 29/74 examined optimal technique to perform CC, 7/74 examined oxygen delivery and 15/74 described feedback devices during neonatal CC.ConclusionThere were very few clinical studies and mostly manikin and animal studies. The findings either reinforced or were insufficient to change previous recommendations which included to start CC if heart rate remains <60/min despite adequate ventilation, using a 3:1 C:V ratio, the two-thumb encircling technique and 100% oxygen during CC.

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Section: Discussionmentioning

confidence: 61%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Chest compressions in newborn infants: a scoping review

Ramachandran

Bruckner

Wyckoff

et al. 2022

Arch Dis Child Fetal Neonatal Ed

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“…This is something that the new TTF method developed by Ladny et al and Smereka et al has also achieved [ 16 , 18 ], with the placement of the thumbs at 90°. However there is no superiority in either quality or depth between the methods using the two thumbs TTE or the TTF [ 32 , 33 ]. In our study, we analyzed the Q-CPR in a comprehensive manner.…”

Section: Discussionmentioning

confidence: 99%

A Comparison between Three Different Techniques Considering Quality Skills, Fatigue and Hand Pain during a Prolonged Infant Resuscitation: A Cross-Over Study with Lifeguards

Barcala-Furelos

Noguera

et al. 2022

Children

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The aim of the study was to compare the quality of CPR (Q-CPR), as well as the perceived fatigue and hand pain in a prolonged infant cardiopulmonary resuscitation (CPR) performed by lifeguards using three different techniques. A randomized crossover simulation study was used to compare three infant CPR techniques: the two-finger technique (TF); the two-thumb encircling technique (TTE) and the two-thumb-fist technique (TTF). 58 professional lifeguards performed three tests in pairs during a 20-min period of CPR. The rescuers performed compressions and ventilations in 15:2 cycles and changed their roles every 2 min. The variables of analysis were CPR quality components, rate of perceived exertion (RPE) and hand pain with numeric rating scale (NRS). All three techniques showed high Q-CPR results (TF: 86 ± 9%/TTE: 88 ± 9%/TTF: 86 ± 16%), and the TTE showed higher values than the TF (p = 0.03). In the RPE analysis, fatigue was not excessive with any of the three techniques (values 20 min between 3.2 for TF, 2.4 in TTE and 2.5 in TTF on a 10-point scale). TF reached a higher value in RPE than TTF in all the intervals analyzed (p < 0.05). In relation to NRS, TF showed significantly higher values than TTE and TTF (NRS minute 20 = TF 4.7 vs. TTE 2.5 & TTF 2.2; p < 0.001). In conclusion, all techniques have been shown to be effective in high-quality infant CPR in a prolonged resuscitation carried out by lifeguards. However, the two-finger technique is less efficient in relation to fatigue and hand pain compared with two-thumb technique (TF vs. TTF, p = 0.01).

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“…„Klopffinger“-Technik, sind bisher nur an Reanimationspuppen beschrieben worden. Weitere Studien sind erforderlich, um einen Vorteil dieser Techniken gegenüber der Zwei-Daumen-Technik zu belegen [ 1 , 304 ].…”

Section: Wissenschaftliche Grundlagen Auf Deren Basis Die Empfehlungen Für Die Praxis Zur Versorgung Und Reanimation Des Neugeborenen Berunclassified

Versorgung und Reanimation des Neugeborenen nach der Geburt

Madar

Roehr

Ainsworth³

et al. 2021

Notfall Rettungsmed

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Die vorliegenden Leitlinien des European Resuscitation Council zur Versorgung und Reanimation des Neugeborenen nach der Geburt beruhen auf dem International Liaison Committee on Resuscitation (ILCOR) 2020 Consensus on Science and Treatment Recommendations (CoSTR) for Neonatal Life Support (NLS). Sie beinhalten Empfehlungen zur Versorgung und Reanimation des reifen Neugeborenen und zur Stabilisierung des Frühgeborenen. Sie umfassen den aktualisierten Algorithmus zur Reanimation des Neugeborenen, die Vorbereitungen vor der Versorgung eines Neugeborenen, die Themen Training und Ausbildung, Wärmemanagement, Empfehlungen zum Abnabeln, die initiale Beurteilung und Einschätzung des Neugeborenen, das Atemwegsmanagement, inklusive einer Notfallbeatmung, und die Kreislaufunterstützung im Falle einer vollen Reanimation. Darüber hinaus finden sich Empfehlungen zur Kommunikation mit den Eltern und ethische Überlegungen, in welchen Situationen erwogen werden soll, auf Reanimationsmaßnahmen zu verzichten bzw. Reanimationsmaßnahmen nicht fortzuführen. Zusatzmaterial online Zusätzliche Informationen sind in der Online-Version dieses Artikels (10.1007/s10049-021-00894-w) enthalten.

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Two new chest compression methods might challenge the standard in a simulated infant model

Cited by 13 publications

References 26 publications

Chest compressions in newborn infants: a scoping review

Chest compressions in newborn infants: a scoping review

A Comparison between Three Different Techniques Considering Quality Skills, Fatigue and Hand Pain during a Prolonged Infant Resuscitation: A Cross-Over Study with Lifeguards

Versorgung und Reanimation des Neugeborenen nach der Geburt

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