Comparison of Different Chest Compression Techniques in Infant Resuscitation

Ankara City Hospital Bilkent116 enrolled

Overview

In this prospective, single-center, randomized, self-controlled crossover manikin simulation study, participitants performed 2 minutes of single-rescuer CPR (30:2 compression-to-ventilation ratio) with each of the four techniques (the two-finger (2F), three-finger (3F), heel-of-one-hand (HOH), and two-thumb (2T) techniques) in a randomized order, with at least 10 minutes of rest between techniques. Chest compression depth, rate, release velocity, and the proportion of compressions within the target range were recorded using a feedback device. Provider fatigue and perceived difficulty (modified Borg scale) were assessed as secondary outcomes

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

116

Conditions

Resuscitation Cardiac Arrest (CA)

Interventions

Participants perform single-rescuer basic life support CPR on an infant manikin for 2 minutes using the two-finger chest compression technique with a 30:2 compression-to-ventilation ratio

Three-Finger (3F) TechniquePROCEDURE

Participants perform single-rescuer basic life support CPR on an infant manikin for 2 minutes using the three-finger chest compression technique with a 30:2 compression-to-ventilation ratio.

Heel-of-One-Hand (HOH) TechniquePROCEDURE

Participants perform single-rescuer basic life support CPR on an infant manikin for 2 minutes using the heel-of-one-hand chest compression technique with a 30:2 compression-to-ventilation ratio.

Two-Thumb (2T) TechniquePROCEDURE

Participants perform single-rescuer basic life support CPR on an infant manikin for 2 minutes using the two-thumb chest compression technique with a 30:2 compression-to-ventilation ratio.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Resident physicians working in the Emergency Medicine Clinic of Ankara Bilkent City Hospital. * Voluntary agreement to participate in the study. Exclusion Criteria: * Presence of a musculoskeletal disorder or disability that could interfere with CPR performance. * Unwillingness to participate.

Locations (1)

AnkaraCHBilkent

Ankara, Turkey (Türkiye)

Outcomes

Primary Outcomes

Mean Chest Compression Depth

Measured in centimeters (cm) using a CPR feedback device.

Time frame: 2 minutes of CPR application

Mean Chest Compression Rate

Measured as compressions per minute

Time frame: 2 minutes of CPR application

Chest Compression Release Velocity

Measured in millimeters per second (mm/s)

Time frame: 2 minutes of CPR application

Compressions Within Target Range

Percentage of compressions performed within the target range.

Time frame: 2 minutes of CPR application

Secondary Outcomes

Provider Fatigue

Defined and recorded as a 10% reduction in compression depth sustained over three consecutive compressions.

Time frame: During the 2-minute CPR application

Perceived Difficulty

Subjective level of difficulty assessed using the modified Borg scale, graded from 0 (no difficulty) to 10 (most severe difficulty).

Time frame: Assessed immediately after each 2-minute application.

Data from ClinicalTrials.gov

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