Two-thumb technique is superior to two-finger technique during lone rescuer infant manikin CPR.

作者: Sharda Udassi , Jai P. Udassi , Melissa A. Lamb , Douglas W. Theriaque , Jonathan J. Shuster

DOI: 10.1016/J.RESUSCITATION.2009.12.029

关键词:

摘要: Abstract Objective Infant CPR guidelines recommend two-finger chest compression with a lone rescuer and two-thumb two rescuers. Two-thumb provides better but is perceived to be associated increased ventilation hands-off time. We hypothesized that cycle time, decreased quality fewer compressions compared in an infant manikin model. Design Crossover observational study randomizing 34 healthcare providers perform 2min at rate of 100min −1 using 30:2 compression:ventilation ratio comparing vs. techniques. Methods A Laerdal™ Baby ALS Trainer was modified digitally record rate, depth pressure time (two mouth-to-mouth breaths). Manikin rise breaths video recorded later reviewed by blinded instructors for percent effective breaths. Data (mean±SD) were analyzed two-tailed paired t -test. Significance defined qualitatively as p ≤0.05. Result Mean % 90±18.6% 88.9±21.1% two-finger, =0.65. (s) deliver 7.6±1.6 7.0±1.5 =0.0005. resulted significantly higher the technique. Conclusion Healthcare required 0.6s longer during CPR, there no significant difference delivered between had 4 per minute, which may offset far more

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