A Novel Method of Newborn Chest Compression: A Randomized Crossover Simulation Study
Objective: To compare a novel two-thumb chest compression technique with standard techniques during newborn resuscitation performed by novice physicians in terms of median depth of chest compressions, degree of full chest recoil, and effective compression efficacy.Patients and Methods: The total of...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2018-05-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fped.2018.00159/full |
| _version_ | 1811209150973083648 |
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| author | Jacek Smereka Lukasz Szarpak Lukasz Szarpak Jerzy R. Ladny Antonio Rodriguez-Nunez Kurt Ruetzler |
| author_facet | Jacek Smereka Lukasz Szarpak Lukasz Szarpak Jerzy R. Ladny Antonio Rodriguez-Nunez Kurt Ruetzler |
| author_sort | Jacek Smereka |
| collection | DOAJ |
| description | Objective: To compare a novel two-thumb chest compression technique with standard techniques during newborn resuscitation performed by novice physicians in terms of median depth of chest compressions, degree of full chest recoil, and effective compression efficacy.Patients and Methods: The total of 74 novice physicians with less than 1-year work experience participated in the study. They performed chest compressions using three techniques: (A) The new two-thumb technique (nTTT). The novel method of chest compressions in an infant consists in using two thumbs directed at the angle of 90° to the chest while closing the fingers of both hands in a fist. (B) TFT. With this method, the rescuer compresses the sternum with the tips of two fingers. (C) TTHT. Two thumbs are placed over the lower third of the sternum, with the fingers encircling the torso and supporting the back.Results: The median depth of chest compressions for nTTT was 3.8 (IQR, 3.7–3.9) cm, for TFT−2.1 (IQR, 1.7–2.5) cm, while for TTHT−3.6 (IQR, 3.5–3.8) cm. There was a significant difference between nTTT and TFT, and TTHT and TFT (p < 0.001) for each time interval during resuscitation. The degree of full chest recoil was 93% (IQR, 91–97) for nTTT, 99% (IQR, 96–100) for TFT, and 90% (IQR, 74–91) for TTHT. There was a statistically significant difference in the degree of complete chest relaxation between nTTT and TFT (p < 0.001), between nTTT and TTHT (p = 0.016), and between TFT and TTHT (p < 0.001).Conclusion: The median chest compression depth for nTTT and TTHT is significantly higher than that for TFT. The degree of full chest recoil was highest for TFT, then for nTTT and TTHT. The effective compression efficiency with nTTT was higher than for TTHT and TFT. Our novel newborn chest compression method in this manikin study provided adequate chest compression depth and degree of full chest recoil, as well as very good effective compression efficiency. Further clinical studies are necessary to confirm these initial results. |
| first_indexed | 2024-04-12T04:34:45Z |
| format | Article |
| id | doaj.art-7b75c4ea64c644a3b87499fdf854bfdf |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-04-12T04:34:45Z |
| publishDate | 2018-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-7b75c4ea64c644a3b87499fdf854bfdf2022-12-22T03:47:51ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602018-05-01610.3389/fped.2018.00159362887A Novel Method of Newborn Chest Compression: A Randomized Crossover Simulation StudyJacek Smereka0Lukasz Szarpak1Lukasz Szarpak2Jerzy R. Ladny3Antonio Rodriguez-Nunez4Kurt Ruetzler5Department of Emergency Medical Service, Wrocław Medical University, >Wrocław, PolandDepartment of Emergency Medicine, Medical University of Warsaw , Warsaw, PolandDepartment of Emergency Medicine and Disaster, Medical University of Białystok, Białystok, PolandDepartment of Emergency Medicine and Disaster, Medical University of Białystok, Białystok, PolandClinursid Research Group, School of Nursing, University of Santiago de Compostela, Santiago de Compostela, SpainDepartment of General Anesthesiology, Anesthesiology Institute, Cleveland Clinic, Cleveland, OH, United StatesObjective: To compare a novel two-thumb chest compression technique with standard techniques during newborn resuscitation performed by novice physicians in terms of median depth of chest compressions, degree of full chest recoil, and effective compression efficacy.Patients and Methods: The total of 74 novice physicians with less than 1-year work experience participated in the study. They performed chest compressions using three techniques: (A) The new two-thumb technique (nTTT). The novel method of chest compressions in an infant consists in using two thumbs directed at the angle of 90° to the chest while closing the fingers of both hands in a fist. (B) TFT. With this method, the rescuer compresses the sternum with the tips of two fingers. (C) TTHT. Two thumbs are placed over the lower third of the sternum, with the fingers encircling the torso and supporting the back.Results: The median depth of chest compressions for nTTT was 3.8 (IQR, 3.7–3.9) cm, for TFT−2.1 (IQR, 1.7–2.5) cm, while for TTHT−3.6 (IQR, 3.5–3.8) cm. There was a significant difference between nTTT and TFT, and TTHT and TFT (p < 0.001) for each time interval during resuscitation. The degree of full chest recoil was 93% (IQR, 91–97) for nTTT, 99% (IQR, 96–100) for TFT, and 90% (IQR, 74–91) for TTHT. There was a statistically significant difference in the degree of complete chest relaxation between nTTT and TFT (p < 0.001), between nTTT and TTHT (p = 0.016), and between TFT and TTHT (p < 0.001).Conclusion: The median chest compression depth for nTTT and TTHT is significantly higher than that for TFT. The degree of full chest recoil was highest for TFT, then for nTTT and TTHT. The effective compression efficiency with nTTT was higher than for TTHT and TFT. Our novel newborn chest compression method in this manikin study provided adequate chest compression depth and degree of full chest recoil, as well as very good effective compression efficiency. Further clinical studies are necessary to confirm these initial results.https://www.frontiersin.org/article/10.3389/fped.2018.00159/fullchest compressiontechniquecardiopulmonary resuscitationnewbornphysicians |
| spellingShingle | Jacek Smereka Lukasz Szarpak Lukasz Szarpak Jerzy R. Ladny Antonio Rodriguez-Nunez Kurt Ruetzler A Novel Method of Newborn Chest Compression: A Randomized Crossover Simulation Study Frontiers in Pediatrics chest compression technique cardiopulmonary resuscitation newborn physicians |
| title | A Novel Method of Newborn Chest Compression: A Randomized Crossover Simulation Study |
| title_full | A Novel Method of Newborn Chest Compression: A Randomized Crossover Simulation Study |
| title_fullStr | A Novel Method of Newborn Chest Compression: A Randomized Crossover Simulation Study |
| title_full_unstemmed | A Novel Method of Newborn Chest Compression: A Randomized Crossover Simulation Study |
| title_short | A Novel Method of Newborn Chest Compression: A Randomized Crossover Simulation Study |
| title_sort | novel method of newborn chest compression a randomized crossover simulation study |
| topic | chest compression technique cardiopulmonary resuscitation newborn physicians |
| url | https://www.frontiersin.org/article/10.3389/fped.2018.00159/full |
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