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A vertical two‐thumb technique is superior to the two‐thumb encircling technique for infant cardiopulmonary resuscitation
Author(s) -
Na Ji Ung,
Choi Pil Cho,
Lee Hyun Jung,
Shin Dong Hyuk,
Han Sang Kuk,
Cho Jun Hwi
Publication year - 2015
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.12857
Subject(s) - medicine , cardiopulmonary resuscitation , thumb , resuscitation , heart rate , defibrillation , crossover study , anesthesia , blood pressure , cardiology , surgery , alternative medicine , pathology , placebo
Aim The two‐thumb encircling ( TTE ) technique often results in suboptimal cardiac compression and does not meet the requirements of current resuscitation guidelines. We compared this technique with the vertical two‐thumb ( VTT ) technique, our novel modification of the TTE technique. Methods This was a prospective randomised crossover simulation study of out‐of‐hospital infant cardiopulmonary resuscitation ( CPR ). Participants who had completed a basic life support course performed 10 cycles of cardiac compressions on a manikin for each technique. Results We enrolled 36 medical doctors who had applied for a hospital internship in this study. The VTT generated significantly higher pressure than the TTE and the pressure difference ranged from 26.8 to 62.9 mmHg for each cycle, with a mean difference of 43.5 mmHg (95% CI , 37.8–49.2). The difference in pressure showed a tendency to increase with increasing cycles of cardiac compressions. The participants’ heart and respiratory rate was higher with the VTT , but they said that it was easier to perform cardiac compressions with this technique. Conclusion The VTT technique generated more pressure than the TTE technique in a simulated model of infant out‐of‐hospital CPR . It can provide an alternative compression technique for effective infant CPR , especially for the rescuers with small hands or a weak grip.