Effect of rotating providers on chest compression performance during simulated neonatal cardiopulmonary resuscitation.

<h4>Objective</h4>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 impr...

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Main Authors: Tavleen Sandhu, Edgardo G Szyld, Michael P Anderson, Birju A Shah
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0265072
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author Tavleen Sandhu
Edgardo G Szyld
Michael P Anderson
Birju A Shah
author_facet Tavleen Sandhu
Edgardo G Szyld
Michael P Anderson
Birju A Shah
author_sort Tavleen Sandhu
collection DOAJ
description <h4>Objective</h4>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.<h4>Study design</h4>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.<h4>Results</h4>No statistically significant difference was seen in any of the compression metrics. However, differences in the providers' fatigue scores were statistically significant.<h4>Conclusion</h4>CC performance metrics did not differ significantly, however, providers' vital signs and self-reported fatigue scores significantly increased with longer CC durations.
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spelling doaj.art-034d68e503fe4102b34f9a3aa7cd30db2022-12-22T00:48:04ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01173e026507210.1371/journal.pone.0265072Effect of rotating providers on chest compression performance during simulated neonatal cardiopulmonary resuscitation.Tavleen SandhuEdgardo G SzyldMichael P AndersonBirju A Shah<h4>Objective</h4>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.<h4>Study design</h4>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.<h4>Results</h4>No statistically significant difference was seen in any of the compression metrics. However, differences in the providers' fatigue scores were statistically significant.<h4>Conclusion</h4>CC performance metrics did not differ significantly, however, providers' vital signs and self-reported fatigue scores significantly increased with longer CC durations.https://doi.org/10.1371/journal.pone.0265072
spellingShingle Tavleen Sandhu
Edgardo G Szyld
Michael P Anderson
Birju A Shah
Effect of rotating providers on chest compression performance during simulated neonatal cardiopulmonary resuscitation.
PLoS ONE
title Effect of rotating providers on chest compression performance during simulated neonatal cardiopulmonary resuscitation.
title_full Effect of rotating providers on chest compression performance during simulated neonatal cardiopulmonary resuscitation.
title_fullStr Effect of rotating providers on chest compression performance during simulated neonatal cardiopulmonary resuscitation.
title_full_unstemmed Effect of rotating providers on chest compression performance during simulated neonatal cardiopulmonary resuscitation.
title_short Effect of rotating providers on chest compression performance during simulated neonatal cardiopulmonary resuscitation.
title_sort effect of rotating providers on chest compression performance during simulated neonatal cardiopulmonary resuscitation
url https://doi.org/10.1371/journal.pone.0265072
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