A novel CPR-assist device vs. established chest compression techniques in infant CPR: A manikin study

Guidelines for infant CPR recommend the two-thumb encircling hands technique (TTT) and the two-finger technique (TFT) for chest compression. Some devices have been designed to assist with infant CPR, but are often not readily available. Syringe plungers may serve as an alternative infant CPR assist...

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Bibliographic Details
Published in:The American journal of emergency medicine 2024-03, Vol.77, p.81-86
Main Authors: Kao, Chia-Lung, Tsou, Jui-Yi, Hong, Ming-Yuan, Chang, Chih-Jan, Tu, Yi-Fang, Huang, Shao-Peng, Su, Fong-Chin, Chi, Chih-Hsien
Format: Article
Language:English
Subjects:
Babies
Blood pressure
Cardiopulmonary resuscitation
Cardiopulmonary Resuscitation - methods
Chest
Chest compression
Compression
CPR
Cross-Over Studies
Emergency medical care
Fatigue
Fingers
Fingers & toes
Hospitals
Humans
Infant
Infant resuscitation
Infants
Lifesaving
Manikin
Manikins
Medical prognosis
Novel technique
Physiology
Ratios
Syringe plunger
Thorax
Thumb
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Summary:Guidelines for infant CPR recommend the two-thumb encircling hands technique (TTT) and the two-finger technique (TFT) for chest compression. Some devices have been designed to assist with infant CPR, but are often not readily available. Syringe plungers may serve as an alternative infant CPR assist device given their availability in most hospitals. In this study, we aimed to determine whether CPR using a syringe plunger could improve CPR quality measurements on the Resusci-Baby manikin compared with traditional methods of infant CPR. Compression area with a diameter of 1 to 2 cm is recommended in previous infant CPR device researches. In this is a randomized crossover manikin study, we examined the efficacy of the Syringe Plunger Technique (SPT) which uses the plunger of the 20 ml syringe with a 2 cm diameter flat piston, commonly available in hospital, for infant External Chest Compressions (ECC). Participants performed TTT, TFT and SPT ECC on Resusci® Baby QCPR® according to 2020 BLS guidelines. Sixty healthcare providers participated in this project. The median (IQR) ECC depths in the TTT, TFT and SPT in the first minute were 41 mm (40–42), 40 mm (38–41) and 40 mm (39–41), respectively, with p 
ISSN:0735-6757
1532-8171
1532-8171
DOI:10.1016/j.ajem.2023.12.002