Which Fingers Should We Perform Two-Finger Chest Compression Technique with When Performing Cardiopulmonary Resuscitation on an Infant in Cardiac Arrest?
| Autor: | Chan Woong Kim, Dong Hoon Lee, Sung Eun Kim, Je Hyeok Oh, Young Sinn Kim, Jun Young Hong |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Thorax medicine.medical_specialty medicine.medical_treatment Manikins law.invention Fingers Young Adult 03 medical and health sciences 0302 clinical medicine law 030225 pediatrics Humans Medicine Cardiopulmonary resuscitation Cross-Over Studies business.industry Models Cardiovascular Infant 030208 emergency & critical care medicine General Medicine Hand Compression (physics) Emergency & Critical Care Medicine Cardiopulmonary Resuscitation Heart Arrest Surgery Ventilation (architecture) Female Original Article business Healthcare providers |
| Zdroj: | Journal of Korean Medical Science |
| ISSN: | 1598-6357 1011-8934 |
| DOI: | 10.3346/jkms.2016.31.6.997 |
| Popis: | This study compared the effectiveness two-finger chest compression technique (TFCC) performed using the right vs. left hand and the index-middle vs. middle-ring fingers. Four different finger/hand combinations were tested randomly in 30 healthcare providers performing TFCC (Test 1: the right index-middle fingers; Test 2: the left index-middle fingers; Test 3: the right middle-ring fingers; Test 4: the left middle-ring fingers) using two cross-over trials. The “patient” was a 3-month-old-infant-sized manikin. Each experiment consisted of cardiopulmonary resuscitation (CPR) consisting of 2 minutes of 30:2 compression: ventilation performed by one rescuer on a manikin lying on the floor as if in cardiac arrest. Ventilations were performed using the mouth-to-mouth method. Compression and ventilation data were collected during the tests. The mean compression depth (MCD) was significantly greater in TFCC performed with the index-middle fingers than with the middle-ring fingers regardless of the hand (95% confidence intervals; right hand: 37.8–40.2 vs. 35.2–38.6 mm, P = 0.002; left hand: 36.9–39.2 vs. 35.5–38.1 mm, P = 0.003). A deeper MCD was achieved with the index-middle fingers of the right versus the left hand (P = 0.004). The ratio of sufficiently deep compressions showed the same patterns. There were no significant differences in the other data. The best performance of TFCC in simulated 30:2 compression: ventilation CPR performed by one rescuer on an infant in cardiac arrest lying on the floor was obtained using the index-middle fingers of the right hand. Clinical Trial Registry at the Clinical Research Information Service (KCT0001515). Graphical Abstract |
| Databáze: | OpenAIRE |
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