A Comparison between Three Different Techniques Considering Quality Skills, Fatigue and Hand Pain during a Prolonged Infant Resuscitation

A Cross-Over Study with Lifeguards

Dados Bibliográficos

ID15713402
AutoresRoberto Barcala‐Furelos (0000-0002-7247-0509, Universidade de Vigo), Martín Barcala-Furelos (0000-0003-0834-1320, Universidad Europea del Atlántico, autor correspondente), Francisco Cano Noguera (0000-0002-0391-9915, Universidad de Murcia), Martín Otero‐Agra (0000-0003-1543-9780, Universidade de Vigo), Alejandra Alonso-Calvete (0000-0003-4386-1559, Universidade de Vigo), Santiago Martínez‐Isasi (0000-0001-8075-7668, Universidade da Coruña), Silvia Aranda‐García (0000-0002-5202-4595, Institut Nacional d'Educació Física de Catalunya), Sergio López-García (0000-0003-3109-1542, Pontifical University of Salamanca), Antonio Rodrı́guez-Núñez (0000-0003-3414-2771, Complejo Hospitalario Universitario de Santiago)
Ano2022
Volume9
Fascículo6
Páginas910-910
Data de publicação2022-06-17
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoChildren (JOURNAL)
Identificadores do periódicoISSN: 2227-9067 • E-ISSN: 2227-9067
EditoraMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children9060910
PMID35740847
OpenAlexW4283024655
IdiomaEN
Citações recebidas4
Referências citadas32

The aim of the study was to compare the quality of CPR (Q-CPR), as well as the perceived fatigue and hand pain in a prolonged infant cardiopulmonary resuscitation (CPR) performed by lifeguards using three different techniques. A randomized crossover simulation study was used to compare three infant CPR techniques: the two-finger technique (TF); the two-thumb encircling technique (TTE) and the two-thumb-fist technique (TTF). 58 professional lifeguards performed three tests in pairs during a 20-min period of CPR. The rescuers performed compressions and ventilations in 15:2 cycles and changed their roles every 2 min. The variables of analysis were CPR quality components, rate of perceived exertion (RPE) and hand pain with numeric rating scale (NRS). All three techniques showed high Q-CPR results (TF: 86 ± 9%/TTE: 88 ± 9%/TTF: 86 ± 16%), and the TTE showed higher values than the TF (p = 0.03). In the RPE analysis, fatigue was not excessive with any of the three techniques (values 20 min between 3.2 for TF, 2.4 in TTE and 2.5 in TTF on a 10-point scale). TF reached a higher value in RPE than TTF in all the intervals analyzed (p < 0.05). In relation to NRS, TF showed significantly higher values than TTE and TTF (NRS minute 20 = TF 4.7 vs. TTE 2.5 & TTF 2.2; p < 0.001). In conclusion, all techniques have been shown to be effective in high-quality infant CPR in a prolonged resuscitation carried out by lifeguards. However, the two-finger technique is less efficient in relation to fatigue and hand pain compared with two-thumb technique (TF vs. TTF, p = 0.01)

Anesthesia · Blood pressure · Cardiopulmonary resuscitation · Crossover study · Heart rate · Perceived exertion · Physical therapy · Placebo · Resuscitation · Thumb · Cardiac Arrest and Resuscitation · Injury Epidemiology and Prevention · Medicine · Trauma and Emergency Care Studies · Internal Medicine · Surgery

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