Open AccessEffect of rotating providers on chest compression performance during simulated neonatal cardiopulmonary resuscitation
Author(s) -
Tavleen Sandhu,
Edgardo Szyld,
Michael P. Anderson,
Birju A. Shah
Publication year - 2022
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0265072
Subject(s) - cardiopulmonary resuscitation , crossover study , medicine , observational study , ventilation (architecture) , compression (physics) , physical therapy , emergency medicine , resuscitation , anesthesia , composite material , mechanical engineering , materials science , alternative medicine , pathology , engineering , placebo
Objective Simulation studies in adults and pediatrics demonstrate improvement in chest compression (CCs) quality as providers rotate every two minutes. There is paucity of studies in neonates on this matter. This study hypothesized that frequent rotation while performing CCs improves provider performance and decreases fatigue. Study design Prospective randomized, observational crossover study where 51 providers performed 3:1 compression-ventilation CPR as a pair on a term manikin. Participants performed CCs as part of 3 simulation models, rotating every 3, 5 and 10 minutes. Data on various CC metrics were collected. Participant vitals were recorded at multiple points during the simulation and participants reported their level of fatigue at completion of simulation. Results No statistically significant difference was seen in any of the compression metrics. However, differences in the providers’ fatigue scores were statistically significant. Conclusion CC performance metrics did not differ significantly, however, providers’ vital signs and self-reported fatigue scores significantly increased with longer CC durations.