Skip to main content
Erschienen in: Pediatric Cardiology 6/2019

19.06.2019 | Original Article

Development and Evaluation of a New Chest Compression Technique for Cardiopulmonary Resuscitation in Infants

verfasst von: Dongjun Yang, Kwan Ho Kim, Je Hyeok Oh, Sunhan Son, Junmo Cho, Kyung Mook Seo

Erschienen in: Pediatric Cardiology | Ausgabe 6/2019

Einloggen, um Zugang zu erhalten

Abstract

We designed the newly developed flexed two-finger chest compression technique for cardiopulmonary resuscitation (CPR) 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. The aim of the study is to compare the performance of the flexed two-finger technique and the currently used two-thumb technique or two-finger technique for infant CPR. A total of 42 doctors conducted 2-min single-rescuer CPR 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 CPR.
Trial registration: Clinical Research Information Service, KCT0002730.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
9.
Zurück zum Zitat Whitelaw CC, Slywka B, Goldsmith LJ (2000) Comparison of a two-finger versus two-thumb method for chest compressions by healthcare providers in an infant mechanical model. Resuscitation 43(3):213–216CrossRef Whitelaw CC, Slywka B, Goldsmith LJ (2000) Comparison of a two-finger versus two-thumb method for chest compressions by healthcare providers in an infant mechanical model. Resuscitation 43(3):213–216CrossRef
10.
Zurück zum Zitat Dorfsman ML, Menegazzi JJ, Wadas RJ, Auble TE (2000) Two-thumb vs. two-finger chest compression in an infant model of prolonged cardiopulmonary resuscitation. Acad Emerg Med 7(10):1077–1082CrossRef Dorfsman ML, Menegazzi JJ, Wadas RJ, Auble TE (2000) Two-thumb vs. two-finger chest compression in an infant model of prolonged cardiopulmonary resuscitation. Acad Emerg Med 7(10):1077–1082CrossRef
11.
Zurück zum Zitat Houri PK, Frank LR, Menegazzi JJ, Taylor R (1997) A randomized, controlled trial of two-thumb vs two-finger chest compression in a swine infant model of cardiac arrest (see comment). Prehosp Emerg Care 1(2):65–67CrossRef Houri PK, Frank LR, Menegazzi JJ, Taylor R (1997) A randomized, controlled trial of two-thumb vs two-finger chest compression in a swine infant model of cardiac arrest (see comment). Prehosp Emerg Care 1(2):65–67CrossRef
Metadaten
Titel
Development and Evaluation of a New Chest Compression Technique for Cardiopulmonary Resuscitation in Infants
verfasst von
Dongjun Yang
Kwan Ho Kim
Je Hyeok Oh
Sunhan Son
Junmo Cho
Kyung Mook Seo
Publikationsdatum
19.06.2019
Verlag
Springer US
Erschienen in
Pediatric Cardiology / Ausgabe 6/2019
Print ISSN: 0172-0643
Elektronische ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-019-02135-x

Weitere Artikel der Ausgabe 6/2019

Pediatric Cardiology 6/2019 Zur Ausgabe

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.