Four Different Finger Positions and Their Effects on Hemodynamic Changes during Chest Compression in Asphyxiated Neonatal Piglets
<b>Background:</b> The Neonatal Life Support Consensus on Science With Treatment Recommendations states that chest compressions (CC) be performed preferably with the 2-thumb encircling technique. The aim of this study was to compare the hemodynamic effects of four different finger positi...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-02-01
|
| Series: | Children |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9067/10/2/283 |
| _version_ | 1797621700156719104 |
|---|---|
| author | Marlies Bruckner Mattias Neset Megan O’Reilly Tze-Fun Lee Po-Yin Cheung Georg M. Schmölzer |
| author_facet | Marlies Bruckner Mattias Neset Megan O’Reilly Tze-Fun Lee Po-Yin Cheung Georg M. Schmölzer |
| author_sort | Marlies Bruckner |
| collection | DOAJ |
| description | <b>Background:</b> The Neonatal Life Support Consensus on Science With Treatment Recommendations states that chest compressions (CC) be performed preferably with the 2-thumb encircling technique. The aim of this study was to compare the hemodynamic effects of four different finger positions during CC in a piglet model of neonatal asphyxia. <b>Methods:</b> Seven asphyxiated post-transitional piglets were randomized to CC with 2-thumb-, 2-finger-, knocking-fingers-, and over-the-head 2-thumb-techniques for one minute at each technique. CC superimposed with sustained inflations were performed manually. <b>Results:</b> Seven newborn piglets (age 0–4 days, weight 2.0–2.1 kg) were included in the study. The mean (SD) slope rise of carotid blood flow was significantly higher with the 2-thumb-technique and over-the-head 2-thumb-technique (118 (45) mL/min/s and 121 (46) mL/min/s, respectively) compared to the 2-finger-technique and knocking-finger-technique (75 (48) mL/min/s and 71 (67) mL/min/s, respectively) (<i>p</i> < 0.001). The mean (SD) dp/dt<sub>min</sub> (as an expression of left ventricular function) was significantly lower with the 2-thumb-technique, with −1052 (369) mmHg/s, compared to −568 (229) mmHg/s and −578(180) mmHg/s (both <i>p</i> = 0.012) with the 2-finger-technique and knocking-finger-technique, respectively. <b>Conclusion:</b> The 2-thumb-technique and the over-the-head 2-thumb-technique resulted in improved slope rises of carotid blood flow and dp/dtmin during chest compression. |
| first_indexed | 2024-03-11T08:59:38Z |
| format | Article |
| id | doaj.art-1f7efd71856c4fe5942283d082fad6fa |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-11T08:59:38Z |
| publishDate | 2023-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-1f7efd71856c4fe5942283d082fad6fa2023-11-16T19:48:35ZengMDPI AGChildren2227-90672023-02-0110228310.3390/children10020283Four Different Finger Positions and Their Effects on Hemodynamic Changes during Chest Compression in Asphyxiated Neonatal PigletsMarlies Bruckner0Mattias Neset1Megan O’Reilly2Tze-Fun Lee3Po-Yin Cheung4Georg M. Schmölzer5Centre for the Studies of Asphyxia and Resuscitation, Neonatal Research Unit, Royal Alexandra Hospital, Edmonton, AB T5H 3V9, CanadaCentre for the Studies of Asphyxia and Resuscitation, Neonatal Research Unit, Royal Alexandra Hospital, Edmonton, AB T5H 3V9, CanadaCentre for the Studies of Asphyxia and Resuscitation, Neonatal Research Unit, Royal Alexandra Hospital, Edmonton, AB T5H 3V9, CanadaCentre for the Studies of Asphyxia and Resuscitation, Neonatal Research Unit, Royal Alexandra Hospital, Edmonton, AB T5H 3V9, CanadaCentre for the Studies of Asphyxia and Resuscitation, Neonatal Research Unit, Royal Alexandra Hospital, Edmonton, AB T5H 3V9, CanadaCentre for the Studies of Asphyxia and Resuscitation, Neonatal Research Unit, Royal Alexandra Hospital, Edmonton, AB T5H 3V9, Canada<b>Background:</b> The Neonatal Life Support Consensus on Science With Treatment Recommendations states that chest compressions (CC) be performed preferably with the 2-thumb encircling technique. The aim of this study was to compare the hemodynamic effects of four different finger positions during CC in a piglet model of neonatal asphyxia. <b>Methods:</b> Seven asphyxiated post-transitional piglets were randomized to CC with 2-thumb-, 2-finger-, knocking-fingers-, and over-the-head 2-thumb-techniques for one minute at each technique. CC superimposed with sustained inflations were performed manually. <b>Results:</b> Seven newborn piglets (age 0–4 days, weight 2.0–2.1 kg) were included in the study. The mean (SD) slope rise of carotid blood flow was significantly higher with the 2-thumb-technique and over-the-head 2-thumb-technique (118 (45) mL/min/s and 121 (46) mL/min/s, respectively) compared to the 2-finger-technique and knocking-finger-technique (75 (48) mL/min/s and 71 (67) mL/min/s, respectively) (<i>p</i> < 0.001). The mean (SD) dp/dt<sub>min</sub> (as an expression of left ventricular function) was significantly lower with the 2-thumb-technique, with −1052 (369) mmHg/s, compared to −568 (229) mmHg/s and −578(180) mmHg/s (both <i>p</i> = 0.012) with the 2-finger-technique and knocking-finger-technique, respectively. <b>Conclusion:</b> The 2-thumb-technique and the over-the-head 2-thumb-technique resulted in improved slope rises of carotid blood flow and dp/dtmin during chest compression.https://www.mdpi.com/2227-9067/10/2/283infantnewbornneonatal resuscitationchest compressionasphyxia2 thumbs technique |
| spellingShingle | Marlies Bruckner Mattias Neset Megan O’Reilly Tze-Fun Lee Po-Yin Cheung Georg M. Schmölzer Four Different Finger Positions and Their Effects on Hemodynamic Changes during Chest Compression in Asphyxiated Neonatal Piglets Children infant newborn neonatal resuscitation chest compression asphyxia 2 thumbs technique |
| title | Four Different Finger Positions and Their Effects on Hemodynamic Changes during Chest Compression in Asphyxiated Neonatal Piglets |
| title_full | Four Different Finger Positions and Their Effects on Hemodynamic Changes during Chest Compression in Asphyxiated Neonatal Piglets |
| title_fullStr | Four Different Finger Positions and Their Effects on Hemodynamic Changes during Chest Compression in Asphyxiated Neonatal Piglets |
| title_full_unstemmed | Four Different Finger Positions and Their Effects on Hemodynamic Changes during Chest Compression in Asphyxiated Neonatal Piglets |
| title_short | Four Different Finger Positions and Their Effects on Hemodynamic Changes during Chest Compression in Asphyxiated Neonatal Piglets |
| title_sort | four different finger positions and their effects on hemodynamic changes during chest compression in asphyxiated neonatal piglets |
| topic | infant newborn neonatal resuscitation chest compression asphyxia 2 thumbs technique |
| url | https://www.mdpi.com/2227-9067/10/2/283 |
| work_keys_str_mv | AT marliesbruckner fourdifferentfingerpositionsandtheireffectsonhemodynamicchangesduringchestcompressioninasphyxiatedneonatalpiglets AT mattiasneset fourdifferentfingerpositionsandtheireffectsonhemodynamicchangesduringchestcompressioninasphyxiatedneonatalpiglets AT meganoreilly fourdifferentfingerpositionsandtheireffectsonhemodynamicchangesduringchestcompressioninasphyxiatedneonatalpiglets AT tzefunlee fourdifferentfingerpositionsandtheireffectsonhemodynamicchangesduringchestcompressioninasphyxiatedneonatalpiglets AT poyincheung fourdifferentfingerpositionsandtheireffectsonhemodynamicchangesduringchestcompressioninasphyxiatedneonatalpiglets AT georgmschmolzer fourdifferentfingerpositionsandtheireffectsonhemodynamicchangesduringchestcompressioninasphyxiatedneonatalpiglets |