PMID- 35616194
OWN - NLM
STAT- MEDLINE
DCOM- 20220527
LR  - 20220527
IS  - 1442-200X (Electronic)
IS  - 1328-8067 (Linking)
VI  - 64
IP  - 1
DP  - 2022 Jan
TI  - Quantitative assessment of chest compression techniques on an infant manikin.
PG  - e15118
LID - 10.1111/ped.15118 [doi]
AB  - BACKGROUND: Current cardiopulmonary resuscitation (CPR) guidelines recommend the 
      two-finger technique (TFT) of chest compression (CC) in infants for a single 
      rescuer. We hypothesized that healthcare providers cannot achieve adequate CC 
      depth with TFT, even if using real-time visual feedback (RVF). METHODS: This was 
      a cross-over study, randomizing participants to perform three sets of 2-min 
      continuous CC, comparing (i) TFT with RVF, (ii) the one-hand technique (OHT) 
      without RVF, and (iii) OHT with RVF. A standard CPR trainer manikin of a 
      3-month-old infant and a monitor/defibrillator that displays and records the 
      quantitative CC quality were used. We set a target compression depth of 40-50 mm 
      and a target compression rate of 100-120/min. Data were analyzed using the 
      Friedman test and Bonferroni correction. Statistical significance was defined as 
      P-value of< 0.05. RESULTS: Fifty-nine healthcare providers participated in the 
      study. The mean compression depth was 24 mm (interquartile range [IQR], 22-26 mm) 
      in TFT with RVF and 43 mm (IQR, 38-48 mm) in OHT without RVF, P < 0.001. The 
      proportion of adequate CC depth was 0% (IQR, 0-0%) in TFT with RVF, 22% (IQR, 
      5-54%) in OHT without RVF, and 62% (IQR, 29-83%) in OHT with RVF. The mean 
      compression rate was within the target range in all three techniques. 
      CONCLUSIONS: The TFT cannot produce the CC depth that meets the recommendation of 
      the current CPR guidelines for an infant with RVF, whereas the OHT does.
CI  - (c) 2021 Japan Pediatric Society.
FAU - Hirayama, Yuji
AU  - Hirayama Y
AUID- ORCID: 0000-0002-8115-1948
AD  - Division of Pediatric Critical Care Medicine, Aichi Children's Health and Medical 
      Center, Obu, Aichi, Japan.
FAU - Ito, Yurie
AU  - Ito Y
AD  - Division of Pediatric Emergency Medicine, Aichi Children's Health and Medical 
      Center, Obu, Aichi, Japan.
FAU - Ogawa, Mariko
AU  - Ogawa M
AD  - Nursing Department, Aichi Children's Health and Medical Center, Obu, Aichi, 
      Japan.
FAU - Fukushima, Yasuhiro
AU  - Fukushima Y
AD  - Nursing Department, Aichi Children's Health and Medical Center, Obu, Aichi, 
      Japan.
FAU - Ikeyama, Takanari
AU  - Ikeyama T
AD  - Division of Pediatric Critical Care Medicine, Aichi Children's Health and Medical 
      Center, Obu, Aichi, Japan.
LA  - eng
PT  - Journal Article
PL  - Australia
TA  - Pediatr Int
JT  - Pediatrics international : official journal of the Japan Pediatric Society
JID - 100886002
SB  - IM
MH  - *Cardiopulmonary Resuscitation/methods
MH  - Cross-Over Studies
MH  - Fingers
MH  - Humans
MH  - Infant
MH  - *Manikins
MH  - Pressure
OTO - NOTNLM
OT  - cardiopulmonary resuscitation
OT  - chest compression depth
OT  - pediatrics
OT  - real-time visual feedback
OT  - two-finger technique
EDAT- 2022/05/27 06:00
MHDA- 2022/05/28 06:00
CRDT- 2022/05/26 06:32
PHST- 2021/12/01 00:00 [revised]
PHST- 2021/05/19 00:00 [received]
PHST- 2021/12/27 00:00 [accepted]
PHST- 2022/05/27 06:00 [pubmed]
PHST- 2022/05/28 06:00 [medline]
PHST- 2022/05/26 06:32 [entrez]
AID - 10.1111/ped.15118 [doi]
PST - ppublish
SO  - Pediatr Int. 2022 Jan;64(1):e15118. doi: 10.1111/ped.15118.