RT Journal Article
T1 A comparison between three different techniques considering quality skills, fatigue and hand pain during a prolonged infant resuscitation: a cross-over study with lifeguards
A1 Barcala Furelos, Roberto Jesus
A1 Barcala Furelos, Martín
A1 Cano Noguera, Francisco
A1 Otero Agra, Martín
A1 Alonso Calvete, Alejandra
A1 Martínez Isasi, Santiago
A1 Aranda García, Silvia
A1 López García, Sergio
A1 Rodríguez Núñez, Antonio
K1 2411 Fisiología Humana
K1 2411.03 Fisiología Cardiovascular
K1 2411.17 Fisiología de la Respiración
AB 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).
PB Children
SN 22279067
YR 2022
FD 2022-06-17
LK http://hdl.handle.net/11093/3642
UL http://hdl.handle.net/11093/3642
LA eng
NO Children, 9(6): 910 (2022)
DS Investigo
RD 18-may-2025