New chest compression method in infant resuscitation: Cross thumb technique
Background The two-thumb encircling technique (2TT) is superior to the two-finger technique (2FT) in infant cardiopulmonary resuscitation (CPR), but there are difficulties in providing ventilation as soon as possible. We modified the 2TT to the cross-thumb technique (CTT) to maintain good CPR perfor...
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| Veröffentlicht in: | PloS one 2022-08, Vol.17 (8), p.e0271636-e0271636 |
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| description | Background The two-thumb encircling technique (2TT) is superior to the two-finger technique (2FT) in infant cardiopulmonary resuscitation (CPR), but there are difficulties in providing ventilation as soon as possible. We modified the 2TT to the cross-thumb technique (CTT) to maintain good CPR performance at the same position as 2FT. We aimed to compare the quality of chest compression and brief hands-off times in 2FT, 2TT, and CTT by a single rescuer using an infant CPR manikin model. Methods This study was designed as a prospective randomized controlled simulation-based study. We used the Resusci® Baby QCPR (Laerdal Medical, Stavanger, Norway) as a simulated 3-month-old infant. Ventilation was performed by the mouth-to-mouth technique using a chest compression-to-ventilation ratio of 30:2 as a single rescuer. Data on CPR quality, such as locations, rates, depth and release of chest compressions, hands-off times, and proper ventilation, were recorded using the Resusci® Baby QCPR and SkillReporter. Also, the chest compression fraction (CCF) was automatically calculated. Results The depth of chest compression in 2FT, 2TT, and CTT were 40.0 mm (interquartile range [IQR] 39.0, 41.0), 42.0 mm (IQR 41.0, 43.0), and 42.0 mm (IQR 41.0, 43.0), respectively. The depth of chest compression in 2FT was shallower than that in the other two techniques (P |
| doi_str_mv | 10.1371/journal.pone.0271636 |
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| fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_2699932837</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A713000170</galeid><doaj_id>oai_doaj_org_article_fc71af2190084729bc2de049e8d2c651</doaj_id><sourcerecordid>A713000170</sourcerecordid><originalsourceid>FETCH-LOGICAL-c669t-59782a4482cbe0d1b13e401089d0d8526d17e3b54b8a5a4e768569044fe4f8c73</originalsourceid><addsrcrecordid>eNqNktuL1DAUxoso7rr6HwgWBNGHGXNvsg_CMngZXFzw9hrS9HSaoW3GJvXy35vuVNnKPkgLDTm_fKfny5dljzFaY1rgl3s_Dr1p1wffwxqRAgsq7mSnWFGyEgTRuzfWJ9mDEPYIcSqFuJ-dUK6oYlScZu8_wI_cNhBibn13GCAE5_u8g9j4Knd9emvTxzwVxmBdNDGVz_PN4EPIYzN2ZR7BNr37NsLD7F5t2gCP5u9Z9uXN68-bd6vLq7fbzcXlygqh4oqrQhLDmCS2BFThElNgCCOpKlRJTkSFC6AlZ6U03DAohORCIcZqYLW0BT3Lnhx1D60PevYhaCKUSgNLOhHbI1F5s9eHwXVm-KW9cfp6ww87bYbobAu6tgU2NcEKIckKokpLKkBMgayIFRwnrVdzt7HsoLLQx8G0C9FlpXeN3vnvWiWXeYGSwPNZYPDJpRB154KFtjU9-HH-b55uhCf06T_o7dPN1M6kAdIF-dTXTqL6osAUIYSv265vodJTQedsCk3t0v7iwIvFgcRE-Bl3ZgxBbz99_H_26uuSfXaDbcC0sQm-HackhSXIjqCd0jVA_ddkjPSU-T9u6Cnzes48_Q1-qvC3</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2699932837</pqid></control><display><type>article</type><title>New chest compression method in infant resuscitation: Cross thumb technique</title><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><source>Public Library of Science (PLoS)</source><creator>Jeon, Woochan ; Kim, Jungeon ; Ko, Yura ; Lee, Jisook</creator><contributor>Nair, Jayasree</contributor><creatorcontrib>Jeon, Woochan ; Kim, Jungeon ; Ko, Yura ; Lee, Jisook ; Nair, Jayasree</creatorcontrib><description>Background The two-thumb encircling technique (2TT) is superior to the two-finger technique (2FT) in infant cardiopulmonary resuscitation (CPR), but there are difficulties in providing ventilation as soon as possible. We modified the 2TT to the cross-thumb technique (CTT) to maintain good CPR performance at the same position as 2FT. We aimed to compare the quality of chest compression and brief hands-off times in 2FT, 2TT, and CTT by a single rescuer using an infant CPR manikin model. Methods This study was designed as a prospective randomized controlled simulation-based study. We used the Resusci® Baby QCPR (Laerdal Medical, Stavanger, Norway) as a simulated 3-month-old infant. Ventilation was performed by the mouth-to-mouth technique using a chest compression-to-ventilation ratio of 30:2 as a single rescuer. Data on CPR quality, such as locations, rates, depth and release of chest compressions, hands-off times, and proper ventilation, were recorded using the Resusci® Baby QCPR and SkillReporter. Also, the chest compression fraction (CCF) was automatically calculated. Results The depth of chest compression in 2FT, 2TT, and CTT were 40.0 mm (interquartile range [IQR] 39.0, 41.0), 42.0 mm (IQR 41.0, 43.0), and 42.0 mm (IQR 41.0, 43.0), respectively. The depth of chest compression in 2FT was shallower than that in the other two techniques (P<0.05). CCF in 2FT, 2TT, and CTT were 73.9% (IQR 72.2, 75.6), 71.2% (IQR 67.2, 72.2) and 71.3% (IQR 67.7, 74.1), respectively. CCF was higher in 2FT than in the other two techniques (P<0.05). Correct location in 2FT, 2TT, and CTT were 99.0% (IQR 86.0, 100.0), 100.0% (IQR 97.0, 100.0) and 100.0% (IQR 99.0, 100.0), respectively. Correct location in CTT and 2TT was higher than that in 2FT. Performing CTT, the subjective pain and fatigue score were lower than other two technique. Conclusion A new chest compression technique, CTT was better in chest compression depth compared with 2FT and may be helpful in maintaining correct chest compression location with less pain and fatigue in infant CPR.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0271636</identifier><identifier>PMID: 35939436</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Babies ; Biology and Life Sciences ; Cardiac arrest ; Cardiac resuscitation ; Cardiopulmonary resuscitation ; Chest ; Compression ; CPR ; Demographic aspects ; Fatigue ; Feedback ; Fingers & toes ; Hands ; Health aspects ; Infants ; Lifesaving ; Medicine and Health Sciences ; Methods ; Normal distribution ; Pain ; Pediatrics ; Resuscitation ; Simulation ; Variance analysis ; Ventilation</subject><ispartof>PloS one, 2022-08, Vol.17 (8), p.e0271636-e0271636</ispartof><rights>COPYRIGHT 2022 Public Library of Science</rights><rights>2022 Jeon et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 Jeon et al 2022 Jeon et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c669t-59782a4482cbe0d1b13e401089d0d8526d17e3b54b8a5a4e768569044fe4f8c73</citedby><cites>FETCH-LOGICAL-c669t-59782a4482cbe0d1b13e401089d0d8526d17e3b54b8a5a4e768569044fe4f8c73</cites><orcidid>0000-0003-2674-3593 ; 0000-0003-1755-9487 ; 0000-0002-0522-1350</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9359570/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9359570/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79343,79344</link.rule.ids></links><search><contributor>Nair, Jayasree</contributor><creatorcontrib>Jeon, Woochan</creatorcontrib><creatorcontrib>Kim, Jungeon</creatorcontrib><creatorcontrib>Ko, Yura</creatorcontrib><creatorcontrib>Lee, Jisook</creatorcontrib><title>New chest compression method in infant resuscitation: Cross thumb technique</title><title>PloS one</title><description>Background The two-thumb encircling technique (2TT) is superior to the two-finger technique (2FT) in infant cardiopulmonary resuscitation (CPR), but there are difficulties in providing ventilation as soon as possible. We modified the 2TT to the cross-thumb technique (CTT) to maintain good CPR performance at the same position as 2FT. We aimed to compare the quality of chest compression and brief hands-off times in 2FT, 2TT, and CTT by a single rescuer using an infant CPR manikin model. Methods This study was designed as a prospective randomized controlled simulation-based study. We used the Resusci® Baby QCPR (Laerdal Medical, Stavanger, Norway) as a simulated 3-month-old infant. Ventilation was performed by the mouth-to-mouth technique using a chest compression-to-ventilation ratio of 30:2 as a single rescuer. Data on CPR quality, such as locations, rates, depth and release of chest compressions, hands-off times, and proper ventilation, were recorded using the Resusci® Baby QCPR and SkillReporter. Also, the chest compression fraction (CCF) was automatically calculated. Results The depth of chest compression in 2FT, 2TT, and CTT were 40.0 mm (interquartile range [IQR] 39.0, 41.0), 42.0 mm (IQR 41.0, 43.0), and 42.0 mm (IQR 41.0, 43.0), respectively. The depth of chest compression in 2FT was shallower than that in the other two techniques (P<0.05). CCF in 2FT, 2TT, and CTT were 73.9% (IQR 72.2, 75.6), 71.2% (IQR 67.2, 72.2) and 71.3% (IQR 67.7, 74.1), respectively. CCF was higher in 2FT than in the other two techniques (P<0.05). Correct location in 2FT, 2TT, and CTT were 99.0% (IQR 86.0, 100.0), 100.0% (IQR 97.0, 100.0) and 100.0% (IQR 99.0, 100.0), respectively. Correct location in CTT and 2TT was higher than that in 2FT. Performing CTT, the subjective pain and fatigue score were lower than other two technique. Conclusion A new chest compression technique, CTT was better in chest compression depth compared with 2FT and may be helpful in maintaining correct chest compression location with less pain and fatigue in infant CPR.</description><subject>Babies</subject><subject>Biology and Life Sciences</subject><subject>Cardiac arrest</subject><subject>Cardiac resuscitation</subject><subject>Cardiopulmonary resuscitation</subject><subject>Chest</subject><subject>Compression</subject><subject>CPR</subject><subject>Demographic aspects</subject><subject>Fatigue</subject><subject>Feedback</subject><subject>Fingers & toes</subject><subject>Hands</subject><subject>Health aspects</subject><subject>Infants</subject><subject>Lifesaving</subject><subject>Medicine and Health Sciences</subject><subject>Methods</subject><subject>Normal distribution</subject><subject>Pain</subject><subject>Pediatrics</subject><subject>Resuscitation</subject><subject>Simulation</subject><subject>Variance analysis</subject><subject>Ventilation</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><sourceid>DOA</sourceid><recordid>eNqNktuL1DAUxoso7rr6HwgWBNGHGXNvsg_CMngZXFzw9hrS9HSaoW3GJvXy35vuVNnKPkgLDTm_fKfny5dljzFaY1rgl3s_Dr1p1wffwxqRAgsq7mSnWFGyEgTRuzfWJ9mDEPYIcSqFuJ-dUK6oYlScZu8_wI_cNhBibn13GCAE5_u8g9j4Knd9emvTxzwVxmBdNDGVz_PN4EPIYzN2ZR7BNr37NsLD7F5t2gCP5u9Z9uXN68-bd6vLq7fbzcXlygqh4oqrQhLDmCS2BFThElNgCCOpKlRJTkSFC6AlZ6U03DAohORCIcZqYLW0BT3Lnhx1D60PevYhaCKUSgNLOhHbI1F5s9eHwXVm-KW9cfp6ww87bYbobAu6tgU2NcEKIckKokpLKkBMgayIFRwnrVdzt7HsoLLQx8G0C9FlpXeN3vnvWiWXeYGSwPNZYPDJpRB154KFtjU9-HH-b55uhCf06T_o7dPN1M6kAdIF-dTXTqL6osAUIYSv265vodJTQedsCk3t0v7iwIvFgcRE-Bl3ZgxBbz99_H_26uuSfXaDbcC0sQm-HackhSXIjqCd0jVA_ddkjPSU-T9u6Cnzes48_Q1-qvC3</recordid><startdate>20220808</startdate><enddate>20220808</enddate><creator>Jeon, Woochan</creator><creator>Kim, 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chest compression method in infant resuscitation: Cross thumb technique</title><author>Jeon, Woochan ; Kim, Jungeon ; Ko, Yura ; Lee, Jisook</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c669t-59782a4482cbe0d1b13e401089d0d8526d17e3b54b8a5a4e768569044fe4f8c73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Babies</topic><topic>Biology and Life Sciences</topic><topic>Cardiac arrest</topic><topic>Cardiac resuscitation</topic><topic>Cardiopulmonary resuscitation</topic><topic>Chest</topic><topic>Compression</topic><topic>CPR</topic><topic>Demographic aspects</topic><topic>Fatigue</topic><topic>Feedback</topic><topic>Fingers & toes</topic><topic>Hands</topic><topic>Health aspects</topic><topic>Infants</topic><topic>Lifesaving</topic><topic>Medicine and Health Sciences</topic><topic>Methods</topic><topic>Normal distribution</topic><topic>Pain</topic><topic>Pediatrics</topic><topic>Resuscitation</topic><topic>Simulation</topic><topic>Variance analysis</topic><topic>Ventilation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jeon, Woochan</creatorcontrib><creatorcontrib>Kim, Jungeon</creatorcontrib><creatorcontrib>Ko, Yura</creatorcontrib><creatorcontrib>Lee, Jisook</creatorcontrib><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jeon, Woochan</au><au>Kim, Jungeon</au><au>Ko, Yura</au><au>Lee, Jisook</au><au>Nair, Jayasree</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>New chest compression method in infant resuscitation: Cross thumb technique</atitle><jtitle>PloS one</jtitle><date>2022-08-08</date><risdate>2022</risdate><volume>17</volume><issue>8</issue><spage>e0271636</spage><epage>e0271636</epage><pages>e0271636-e0271636</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Background The two-thumb encircling technique (2TT) is superior to the two-finger technique (2FT) in infant cardiopulmonary resuscitation (CPR), but there are difficulties in providing ventilation as soon as possible. We modified the 2TT to the cross-thumb technique (CTT) to maintain good CPR performance at the same position as 2FT. We aimed to compare the quality of chest compression and brief hands-off times in 2FT, 2TT, and CTT by a single rescuer using an infant CPR manikin model. Methods This study was designed as a prospective randomized controlled simulation-based study. We used the Resusci® Baby QCPR (Laerdal Medical, Stavanger, Norway) as a simulated 3-month-old infant. Ventilation was performed by the mouth-to-mouth technique using a chest compression-to-ventilation ratio of 30:2 as a single rescuer. Data on CPR quality, such as locations, rates, depth and release of chest compressions, hands-off times, and proper ventilation, were recorded using the Resusci® Baby QCPR and SkillReporter. Also, the chest compression fraction (CCF) was automatically calculated. Results The depth of chest compression in 2FT, 2TT, and CTT were 40.0 mm (interquartile range [IQR] 39.0, 41.0), 42.0 mm (IQR 41.0, 43.0), and 42.0 mm (IQR 41.0, 43.0), respectively. The depth of chest compression in 2FT was shallower than that in the other two techniques (P<0.05). CCF in 2FT, 2TT, and CTT were 73.9% (IQR 72.2, 75.6), 71.2% (IQR 67.2, 72.2) and 71.3% (IQR 67.7, 74.1), respectively. CCF was higher in 2FT than in the other two techniques (P<0.05). Correct location in 2FT, 2TT, and CTT were 99.0% (IQR 86.0, 100.0), 100.0% (IQR 97.0, 100.0) and 100.0% (IQR 99.0, 100.0), respectively. Correct location in CTT and 2TT was higher than that in 2FT. Performing CTT, the subjective pain and fatigue score were lower than other two technique. Conclusion A new chest compression technique, CTT was better in chest compression depth compared with 2FT and may be helpful in maintaining correct chest compression location with less pain and fatigue in infant CPR.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>35939436</pmid><doi>10.1371/journal.pone.0271636</doi><tpages>e0271636</tpages><orcidid>https://orcid.org/0000-0003-2674-3593</orcidid><orcidid>https://orcid.org/0000-0003-1755-9487</orcidid><orcidid>https://orcid.org/0000-0002-0522-1350</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Babies Biology and Life Sciences Cardiac arrest Cardiac resuscitation Cardiopulmonary resuscitation Chest Compression CPR Demographic aspects Fatigue Feedback Fingers & toes Hands Health aspects Infants Lifesaving Medicine and Health Sciences Methods Normal distribution Pain Pediatrics Resuscitation Simulation Variance analysis Ventilation |
| title | New chest compression method in infant resuscitation: Cross thumb technique |
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