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Comparisons of chest compression qualities between two-finger chest compression technique and flexed two-finger chest compression technique during cardiopulmonary resuscitation for a cardiac arrest infant

Not Applicable
Completed
Conditions
Not Applicable
Registration Number
KCT0002730
Lead Sponsor
Chung-Ang Univerisity Hospital
Brief Summary

We designed the newly developed flexed two-finger chest compression technique for cardiopulmonary resuscitation in infants to increase the quality of chest compression by considering the advantages and disadvantages of the two-thumb encircling hand technique and conventional two-finger technique. To compare the performance of the flexed two-finger technique and the currently used two-thumb technique or two-finger technique for infant cardiopulmonary resuscitation. A total of 42 doctors conducted 2-min single rescuer cardiopulmonary resuscitation on a cardiac arrest infant model using the two-thumb technique followed, in a random order, by the two-finger technique and the flexed two-finger technique. Although the ratio of the adequate compression depth was highest in the two-thumb technique, followed by the flexed two-finger technique and two-finger technique (100% [98-100] vs. 99% [80-100] vs. 76% [42-95], respectively, P < 0.001), the hand-off time of the two-thumb technique was significantly longer than in the two-finger technique and flexed two-finger technique (31 s [28-35] vs. 29 s [27-32] vs. 29 s [26-32] respectively, P < 0.001). The number of total chest compressions of the two-thumb technique was significantly lower than in the two-finger technique and flexed two-finger technique (150 [148-159] vs. 159 [149-173] vs. 162 [150-172], respectively, P < 0.001). The newly developed chest compression technique could provide adequate compression depth without increasing the hand-off time during single rescuer infant cardiopulmonary resuscitation.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
42
Inclusion Criteria

The study participants will be selected from the medical
doctors who are working as active members in the cardiopulmonary resuscitation
team of the Chung-Ang University hospital and agree to participate the study
voluntarily after hearing the detailed explanations on the objective, design and
protocols of the study.

Exclusion Criteria

The participants who can not perform cardiopulmonary
resuscitation because of the injuries of their fingers or hands within two-weeks
are excluded from the study.

Study & Design

Study Type
Interventional Study
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Average chest compression depth
Secondary Outcome Measures
NameTimeMethod
Average chest compression rate;Average hand-off time;Power of chest compression techniques
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