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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5986950/ https://www.ncbi.nlm.nih.gov/pubmed/29896467 http://dx.doi.org/10.3389/fped.2018.00159 |
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author | Smereka, Jacek Szarpak, Lukasz Ladny, Jerzy R. Rodriguez-Nunez, Antonio Ruetzler, Kurt |
author_facet | Smereka, Jacek Szarpak, Lukasz Ladny, Jerzy R. Rodriguez-Nunez, Antonio Ruetzler, Kurt |
author_sort | Smereka, Jacek |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-5986950 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-59869502018-06-12 A Novel Method of Newborn Chest Compression: A Randomized Crossover Simulation Study Smereka, Jacek Szarpak, Lukasz Ladny, Jerzy R. Rodriguez-Nunez, Antonio Ruetzler, Kurt Front Pediatr Pediatrics 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. Frontiers Media S.A. 2018-05-29 /pmc/articles/PMC5986950/ /pubmed/29896467 http://dx.doi.org/10.3389/fped.2018.00159 Text en Copyright © 2018 Smereka, Szarpak, Ladny, Rodriguez-Nunez and Ruetzler. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Pediatrics Smereka, Jacek Szarpak, Lukasz Ladny, Jerzy R. Rodriguez-Nunez, Antonio Ruetzler, Kurt A Novel Method of Newborn Chest Compression: A Randomized Crossover Simulation Study |
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 | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5986950/ https://www.ncbi.nlm.nih.gov/pubmed/29896467 http://dx.doi.org/10.3389/fped.2018.00159 |
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