Comparison of Different Chest Compression Techniques in Infant Resuscitation

Ankara City Hospital

Status: Completed

Conditions: Cardiac Arrest (CA); Resuscitation

Treatments: Procedure: Three-Finger (3F) Technique; Procedure: Heel-of-One-Hand (HOH) Technique; Procedure: Two-Finger (2F) Technique; Procedure: Two-Thumb (2T) Technique

Study type: Interventional

Funder types: Other

Identifiers

NCT07698340

ASH2

Details and patient eligibility

About

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

Enrollment: 116 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

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.

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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116 participants in 4 patient groups

Two-Finger (2F) Technique

Experimental group

Description:

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

Treatment:

Procedure: Two-Finger (2F) Technique

Three-Finger (3F) Technique

Experimental group

Description:

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

Treatment:

Procedure: Three-Finger (3F) Technique

Heel-of-One-Hand (HOH) Technique

Experimental group

Description:

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

Treatment:

Procedure: Heel-of-One-Hand (HOH) Technique

Two-Thumb (2T) Technique

Experimental group

Description:

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

Treatment:

Procedure: Two-Thumb (2T) Technique