Evaluating Novel Chest Compression Technique in Infant CPR: Enhancing Efficacy and Reducing Rescuer Fatigue in Single-Rescuer Scenarios
<b>Background/Objectives</b>: Effective infant cardiopulmonary resuscitation (CPR) relies on high-quality chest compressions, yet the optimal technique for single-rescuer scenarios remains debated. Although widely used, the two-finger technique (TFT) is associated with an inadequate comp...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-03-01
|
| Series: | Children |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9067/12/3/346 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850203823176417280 |
|---|---|
| author | Marek Solecki Monika Tomaszewska Michal Pruc Magdalena Myga-Nowak Wojciech Wieczorek Burak Katipoglu Basar Cander Lukasz Szarpak |
| author_facet | Marek Solecki Monika Tomaszewska Michal Pruc Magdalena Myga-Nowak Wojciech Wieczorek Burak Katipoglu Basar Cander Lukasz Szarpak |
| author_sort | Marek Solecki |
| collection | DOAJ |
| description | <b>Background/Objectives</b>: Effective infant cardiopulmonary resuscitation (CPR) relies on high-quality chest compressions, yet the optimal technique for single-rescuer scenarios remains debated. Although widely used, the two-finger technique (TFT) is associated with an inadequate compression depth and increased rescuer fatigue. While the two-thumb encircling hands technique (TTHT) provides a superior compression depth, its application in single-rescuer scenarios is impractical. This study evaluates a novel technique (nT) as a potential alternative, aiming to optimize both compression efficacy and rescuer endurance. <b>Methods</b>: This randomized crossover study assessed the efficacy of the TFT, TTHT, and nT in a simulated infant CPR setting. Medical students trained in newborn and infant resuscitation performed all three techniques in a controlled environment using a high-fidelity neonatal simulator. We objectively measured and compared key CPR performance metrics, rescuer fatigue, and hand pain among the techniques. <b>Results</b>: The nT and TTHT outperformed the TFT in compression depth, rescuer endurance, and overall CPR quality. The nT achieved the highest adequate compression rate (92.4% vs. 78.6% for TTHT and 65.2% for TFT) while minimizing fatigue (RPE: 3.1 vs. 4.5 for TTHT and 6.2 for TFT) and hand pain (NRS: 1.8 vs. 3.9 for TTHT and 5.4 for TFT). TTHT produced the deepest compressions (mean: 44.2 mm vs. 42.9 mm for nT and 38.6 mm for TFT, <i>p</i> < 0.001). Rescuer anthropometric factors (sex, weight, and height) affected all techniques similarly, suggesting no inherent advantage based on body characteristics. <b>Conclusions</b>: Both the nT and TTHT outperformed the TFT, with the nT demonstrating superior rescuer endurance while maintaining high-quality compressions. Given its ergonomic benefits and effectiveness, the nT emerges as a promising alternative for single-rescuer infant CPR and warrants consideration for future resuscitation guidelines. |
| format | Article |
| id | doaj-art-660d46f9403f42de982b0fd8f8e4f6ee |
| institution | OA Journals |
| issn | 2227-9067 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj-art-660d46f9403f42de982b0fd8f8e4f6ee2025-08-20T02:11:25ZengMDPI AGChildren2227-90672025-03-0112334610.3390/children12030346Evaluating Novel Chest Compression Technique in Infant CPR: Enhancing Efficacy and Reducing Rescuer Fatigue in Single-Rescuer ScenariosMarek Solecki0Monika Tomaszewska1Michal Pruc2Magdalena Myga-Nowak3Wojciech Wieczorek4Burak Katipoglu5Basar Cander6Lukasz Szarpak7Department of Clinical Research and Development, LUXMED Group, 02-678 Warsaw, PolandDepartment of Clinical Research and Development, LUXMED Group, 02-678 Warsaw, PolandDepartment of Clinical Research and Development, LUXMED Group, 02-678 Warsaw, PolandCollegium Medicum, Jan Dlugosz University in Czestochowa, 42-200 Czestochowa, PolandDepartment of Emergency Medicine, Medical University of Warsaw, 02-005 Warsaw, PolandClinic of Emergency Medicine, Ankara Etlik City Hospital, 06170 Ankara, TurkeyDepartment of Emergency Medicine, Bezmialem Vakif University, Fatih, 34093 Istanbul, TurkeyDepartment of Clinical Research and Development, LUXMED Group, 02-678 Warsaw, Poland<b>Background/Objectives</b>: Effective infant cardiopulmonary resuscitation (CPR) relies on high-quality chest compressions, yet the optimal technique for single-rescuer scenarios remains debated. Although widely used, the two-finger technique (TFT) is associated with an inadequate compression depth and increased rescuer fatigue. While the two-thumb encircling hands technique (TTHT) provides a superior compression depth, its application in single-rescuer scenarios is impractical. This study evaluates a novel technique (nT) as a potential alternative, aiming to optimize both compression efficacy and rescuer endurance. <b>Methods</b>: This randomized crossover study assessed the efficacy of the TFT, TTHT, and nT in a simulated infant CPR setting. Medical students trained in newborn and infant resuscitation performed all three techniques in a controlled environment using a high-fidelity neonatal simulator. We objectively measured and compared key CPR performance metrics, rescuer fatigue, and hand pain among the techniques. <b>Results</b>: The nT and TTHT outperformed the TFT in compression depth, rescuer endurance, and overall CPR quality. The nT achieved the highest adequate compression rate (92.4% vs. 78.6% for TTHT and 65.2% for TFT) while minimizing fatigue (RPE: 3.1 vs. 4.5 for TTHT and 6.2 for TFT) and hand pain (NRS: 1.8 vs. 3.9 for TTHT and 5.4 for TFT). TTHT produced the deepest compressions (mean: 44.2 mm vs. 42.9 mm for nT and 38.6 mm for TFT, <i>p</i> < 0.001). Rescuer anthropometric factors (sex, weight, and height) affected all techniques similarly, suggesting no inherent advantage based on body characteristics. <b>Conclusions</b>: Both the nT and TTHT outperformed the TFT, with the nT demonstrating superior rescuer endurance while maintaining high-quality compressions. Given its ergonomic benefits and effectiveness, the nT emerges as a promising alternative for single-rescuer infant CPR and warrants consideration for future resuscitation guidelines.https://www.mdpi.com/2227-9067/12/3/346infant CPRchest compression techniquestwo-finger techniquetwo-thumb encircling hands techniquenovel compression techniqueCPR quality |
| spellingShingle | Marek Solecki Monika Tomaszewska Michal Pruc Magdalena Myga-Nowak Wojciech Wieczorek Burak Katipoglu Basar Cander Lukasz Szarpak Evaluating Novel Chest Compression Technique in Infant CPR: Enhancing Efficacy and Reducing Rescuer Fatigue in Single-Rescuer Scenarios Children infant CPR chest compression techniques two-finger technique two-thumb encircling hands technique novel compression technique CPR quality |
| title | Evaluating Novel Chest Compression Technique in Infant CPR: Enhancing Efficacy and Reducing Rescuer Fatigue in Single-Rescuer Scenarios |
| title_full | Evaluating Novel Chest Compression Technique in Infant CPR: Enhancing Efficacy and Reducing Rescuer Fatigue in Single-Rescuer Scenarios |
| title_fullStr | Evaluating Novel Chest Compression Technique in Infant CPR: Enhancing Efficacy and Reducing Rescuer Fatigue in Single-Rescuer Scenarios |
| title_full_unstemmed | Evaluating Novel Chest Compression Technique in Infant CPR: Enhancing Efficacy and Reducing Rescuer Fatigue in Single-Rescuer Scenarios |
| title_short | Evaluating Novel Chest Compression Technique in Infant CPR: Enhancing Efficacy and Reducing Rescuer Fatigue in Single-Rescuer Scenarios |
| title_sort | evaluating novel chest compression technique in infant cpr enhancing efficacy and reducing rescuer fatigue in single rescuer scenarios |
| topic | infant CPR chest compression techniques two-finger technique two-thumb encircling hands technique novel compression technique CPR quality |
| url | https://www.mdpi.com/2227-9067/12/3/346 |
| work_keys_str_mv | AT mareksolecki evaluatingnovelchestcompressiontechniqueininfantcprenhancingefficacyandreducingrescuerfatigueinsinglerescuerscenarios AT monikatomaszewska evaluatingnovelchestcompressiontechniqueininfantcprenhancingefficacyandreducingrescuerfatigueinsinglerescuerscenarios AT michalpruc evaluatingnovelchestcompressiontechniqueininfantcprenhancingefficacyandreducingrescuerfatigueinsinglerescuerscenarios AT magdalenamyganowak evaluatingnovelchestcompressiontechniqueininfantcprenhancingefficacyandreducingrescuerfatigueinsinglerescuerscenarios AT wojciechwieczorek evaluatingnovelchestcompressiontechniqueininfantcprenhancingefficacyandreducingrescuerfatigueinsinglerescuerscenarios AT burakkatipoglu evaluatingnovelchestcompressiontechniqueininfantcprenhancingefficacyandreducingrescuerfatigueinsinglerescuerscenarios AT basarcander evaluatingnovelchestcompressiontechniqueininfantcprenhancingefficacyandreducingrescuerfatigueinsinglerescuerscenarios AT lukaszszarpak evaluatingnovelchestcompressiontechniqueininfantcprenhancingefficacyandreducingrescuerfatigueinsinglerescuerscenarios |