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A comparison between the two methods of chest compression in infant and neonatal resuscitation. A review according to
Alexandros Douvanas1, Christina Koulouglioti2, Maria Kalafati3
1a Infection Control Committee , Pediatric Hospital of Athens, "P & A Kyriakou" , Athens , Greece.
Insights
The two-thumb technique for chest compressions is more effective for infant and neonatal resuscitation than the two-finger method. This finding is crucial for improving survival rates without neurological deficits.
Area of Science:
- Pediatric Emergency Medicine
- Cardiopulmonary Resuscitation Techniques
- Neonatal Care
Background:
- Chest compression quality is critical for survival in neonatal and infant resuscitation.
- Effective cardiopulmonary resuscitation (CPR) minimizes neurological deficits.
Purpose of the Study:
- To systematically review studies comparing two-thumb (TT) and two-finger (TF) hand placement techniques for infant and neonatal CPR.
- To determine the more effective chest compression method for neonatal and infant resuscitation.
Main Methods:
- Literature review of studies published between 2010 and 2015.
- Searched medical databases (Cochrane, MEDLINE, SCOPUS) using relevant MeSH terms.
- Included observational studies and randomized controlled trials comparing TT and TF techniques.
Main Results:
- Ten studies met inclusion criteria.
- Most CPR performance occurred on infant trainer manikins.
- Providers used either continuous TF or TT technique chest compressions.
Conclusions:
- The two-thumb (TT) technique is suggested as more effective for infant and neonatal resuscitation compared to the two-finger (TF) method.
- This finding supports optimizing chest compression techniques to improve patient outcomes.
Aim:
The quality of chest compression (CC) delivered during neonatal and infant cardiopulmonary resuscitation (CPR) is identified as the most important factor to achieve the increase of survival rate without major neurological deficit to the patients. The objective of the study was to systematically review all the available studies that have compared the two different techniques of hand placement on infants and neonatal resuscitation, from 2010 to 2015 and to highlight which method is more effective.
Methods:
A review of the literature using a variety of medical databases, including Cochrane, MEDLINE, and SCOPUS electronic databases. The following MeSH terms were used in the search: infant, neonatal, CPR, CC, two-thumb (TT) technique/method, two-finger (TF) technique/method, rescuer fatigue, thumb/finger position/placement, as well as combinations of these.
Results:
Ten studies met the inclusion criteria; nine observational studies and a randomized controlled trial. All providers performed either continuous TF or TT technique CCs and the majority of CPR performance was taken place in infant trainer manikin.
Conclusions:
The majority of the studies suggest the TT method as the more useful for infants and neonatal resuscitation than the TF.
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