Infant Chest Compression

Study Overview
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Brief Summary
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Pediatric cardiac arrest is an uncommon but critical life-threatening event requiring effective cardiopulmonary resuscitation (CPR). About 16,000 pediatric cardiac arrests occurs in the United States annually. Only 8% of the patients survive to hospital discharge and of these, up to two-thirds have neurological sequelae. Majority of pediatric cardiac arrest are below age of two and have poorer chance of survival versus older children

Official Title
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A Randomized Comparison of Three Chest Compression Techniques and Associated Hemodynamic Effect During Infant CPR: a Randomized Manikin Study

Conditions
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Cardiopulmonary Arrest

Intervention / Treatment
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* Procedure: cardiopulmonary resuscitation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: active paramedics voluntary consent Exclusion Criteria: pregnancy back pain wrist pain

Ages Eligible for Study
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Minimum Age: 22 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Two finger technique<br>Two finger technique TFT: the pediatric thorax is compressed with the tips of two fingers and is recommended for lone rescuer during infant CPR by international CPR guidelines | Procedure: cardiopulmonary resuscitation<br>* CPR for 10 minutes with a chest compression: ventilation ratio of 15:2 according to international CPR guidelines<br>|
| Experimental: Two thumb technique<br>Two thumb technique TTHT: the two thumbs of the rescuer are placed over the lower third of the sternum, with the fingers encircling the torso and supporting the back. This technique is recommended for two rescuers during infant CPR by international CPR guidelines | Procedure: cardiopulmonary resuscitation<br>* CPR for 10 minutes with a chest compression: ventilation ratio of 15:2 according to international CPR guidelines<br>|
| Experimental: new two-thumb technique<br>new two-thumb technique' (nTTT): this technique consists in using two thumbs directed at the angle of 90 degrees to the chest while closing the fingers of both hands in a fist | Procedure: cardiopulmonary resuscitation<br>* CPR for 10 minutes with a chest compression: ventilation ratio of 15:2 according to international CPR guidelines<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| systolic blood pressure | The blood measurement system was calibrated before each CPR setting and blood pressure including systolic blood pressure (SBP) | 1 day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| diastolic blood pressure | The blood measurement system was calibrated before each CPR setting and blood pressure including diastolic blood pressure (DBP) | 1 day | 
| mean arterial pressure | The blood measurement system was calibrated before each CPR setting and blood pressure including systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP) | 1 day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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infant, cardiopulmonary resuscitation, hemodynamics, chest compressions