The goal of this clinical trial is to compare one-minute and two-minute compressor rotation intervals during simulated pediatric cardiopulmonary resuscitation, also called CPR. The study will include healthcare professionals who perform chest compressions on a pediatric manikin in a simulated resuscitation setting. The main questions this study aims to answer are: Does one-minute compressor rotation improve chest compression quality compared with two-minute compressor rotation? Does one-minute compressor rotation reduce participant fatigue compared with two-minute compressor rotation? Participants will perform chest compressions during two simulated pediatric CPR sessions. In one session, compressors will rotate every one minute. In the other session, compressors will rotate every two minutes. Researchers will compare CPR performance measures and participant-reported fatigue between the two rotation intervals.
This randomized crossover pilot study evaluates two different compressor rotation intervals during simulated pediatric cardiopulmonary resuscitation. The study is conducted in a simulation setting using a pediatric manikin. No patients are involved, and no clinical care is delivered. Participants are healthcare professionals trained in pediatric resuscitation. Each participant pair completes two CPR scenarios. In one scenario, chest compressors rotate every one minute. In the other scenario, chest compressors rotate every two minutes. The order of the two scenarios is randomized. The study compares objective CPR performance metrics obtained during the simulation, including measures related to chest compression quality. It also evaluates participant-reported fatigue after each scenario. Because each pair completes both rotation strategies, the crossover design allows comparison of the two approaches within the same participant pair. The purpose of this pilot study is to explore whether a shorter compressor rotation interval may help maintain CPR quality or reduce fatigue during simulated pediatric CPR. The findings may help guide future simulation-based research and training strategies for pediatric resuscitation teams.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
18
During simulated pediatric cardiopulmonary resuscitation, chest compressors rotated every one minute. Participants performed chest compressions on a pediatric manikin, and CPR performance metrics were recorded during the simulation.
During simulated pediatric cardiopulmonary resuscitation, chest compressors rotated every two minutes. Participants performed chest compressions on a pediatric manikin, and CPR performance metrics were recorded during the simulation.
Hacettepe University
Ankara, Ankara, Turkey (Türkiye)
Chest Compression Rate During Simulated Pediatric CPR
Chest compression rate was recorded using a manikin-based CPR feedback device during each 20-minute simulated pediatric CPR session. The rate was compared between the one-minute and two-minute compressor rotation conditions.
Time frame: From 0 to 20 minutes after the start of each simulated CPR session
Chest Recoil Velocity During Simulated Pediatric CPR
Chest recoil velocity was recorded using a manikin-based CPR feedback device during each 20-minute simulated pediatric CPR session and compared between the one-minute and two-minute compressor rotation conditions.
Time frame: From 0 to 20 minutes after the start of each simulated CPR session
Proportion of Adequate Chest Compressions
The proportion of adequate chest compressions was defined as the proportion of compressions meeting the pre-specified rate and depth targets. Adequate compressions were defined as compressions delivered at a rate of 100 to 120 compressions per minute and a target depth of at least 5 cm
Time frame: From 0 to 20 minutes after the start of each simulated CPR session
Participant-Reported Fatigue
Participant fatigue was assessed using a 10-point Likert-type fatigue scale. Scores range from 1 to 10, with 1 indicating the least fatigue and 10 indicating the most fatigue. Higher scores indicate worse fatigue. Fatigue scores were compared between the one-minute and two-minute compressor rotation conditions.
Time frame: At 4, 8, 12, 16, and 20 minutes after the start of each simulated CPR session
Blood Pressure Response Before and After Simulated Pediatric CPR
Systolic and diastolic blood pressure were measured at baseline and at the end of each 20-minute simulated CPR session. Blood pressure responses were compared between the one-minute and two-minute compressor rotation conditions.
Time frame: At baseline and immediately after completion of each simulated CPR session
Heart Rate Response During Simulated Pediatric CPR
Participant heart rate was measured in beats per minute (bpm) using a standard monitor. Heart rate values were compared between the one-minute and two-minute compressor rotation conditions.
Time frame: At baseline and at 4, 8, 12, 16, and 20 minutes after the start of each simulated CPR session
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