Infant Chest Compression

NCT ID: NCT03616938

Last Updated: 2018-08-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

65 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-07-28

Study Completion Date

2018-08-31

Brief Summary

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our aim was to quantitatively compare the quality of chest-compression of the new two thumb chest compression (nTTT) versus the current standard techniques: two finger technique (TFT), two thumb technique (TTHT) as defined by systolic-, diastolic-, mean arterial- and pulse-pressures. Our hypothesis is that nTTT generates higher arterial blood pressures compared to the established TFT and TTHT in an infant manikin model.

Detailed Description

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To simulate the scenario of infant CPR, an ALS Baby trainer manikin (Laerdal Medical, Stavanger, Norway) simulating a 3-month-old infant. The manikin was connected with a fixed-volume arterial system attached to a monitor (Draeger Infinity® Delta; Draegerwerk AG \& Co. KGaA, Luebeck, Germany) via an arterial pressure transducer (Edward Lifesciences: TruWave Disposable Pressure Transducer; Irvine, CA, USA). The arterial circuit composed of a 50-mL bag of normal saline solution (air removed) attached to the manikin chest plate and connected to the transducer with a 20-gauge intravenous catheter and tubing. The manikin was placed on a high adjustable hospital stretcher. The bed was leveled to the iliac crest of each rescuer for standardization. The manikin was previously intubated and ventilation was performed using a resuscitator bag.

Conditions

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Cardiac Arrest Infant Simulation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
study participant had no insight on the simulator or a cardio-monitor display

Study Groups

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the two finger chest compression technique

Two finger technique (TFT): the pediatric thorax is compressed with the tips of two fingers and is recommended for lone rescuer during infant cardiopulmonary resuscitation by international resuscitation guidelines

Group Type EXPERIMENTAL

Cardiopulmonary resuscitation

Intervention Type PROCEDURE

2-min cycle of cardiopulmonary resuscitation accorind to the American Heart Association 2015 guidelines

the two thumb chest compression technique

Two thumb technique (TTHT): the two thumbs of the rescuer are placed over the lower third of the sternum, with the fingers encircling the torso and supporting the back. This technique is recommended for two rescuers during infant CPR by international CPR guidelines

Group Type EXPERIMENTAL

Cardiopulmonary resuscitation

Intervention Type PROCEDURE

2-min cycle of cardiopulmonary resuscitation accorind to the American Heart Association 2015 guidelines

the new two thumb chest compression technique

'new two-thumb technique' (nTTT): this technique consists in using two thumbs directed at the angle of 90° to the chest while closing the fingers of both hands in a fist

Group Type EXPERIMENTAL

Cardiopulmonary resuscitation

Intervention Type PROCEDURE

2-min cycle of cardiopulmonary resuscitation accorind to the American Heart Association 2015 guidelines

Interventions

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Cardiopulmonary resuscitation

2-min cycle of cardiopulmonary resuscitation accorind to the American Heart Association 2015 guidelines

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* nurses
* give voluntary consent to participate in the study

Exclusion Criteria

* not meet the above criteria
* wrist or low back diseases
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Wroclaw Medical University

OTHER

Sponsor Role collaborator

Łukasz Szarpak

OTHER

Sponsor Role lead

Responsible Party

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Łukasz Szarpak

Associate Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Lukasz Szarpak, PhD

Role: STUDY_DIRECTOR

Lazarski University

Locations

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Faculty of Medicine, Lazarski University

Warsaw, Masovian Voivodeship, Poland

Site Status RECRUITING

Countries

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Poland

Central Contacts

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Lukasz Szarpak, PhD

Role: CONTACT

500186225

Jacek Smereka, PhD

Role: CONTACT

601967070

Facility Contacts

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Lukasz Szarpak

Role: primary

500186225

References

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Smereka J, Szarpak L, Ladny JR, Rodriguez-Nunez A, Ruetzler K. A Novel Method of Newborn Chest Compression: A Randomized Crossover Simulation Study. Front Pediatr. 2018 May 29;6:159. doi: 10.3389/fped.2018.00159. eCollection 2018.

Reference Type BACKGROUND
PMID: 29896467 (View on PubMed)

Ladny JR, Smereka J, Rodriguez-Nunez A, Leung S, Ruetzler K, Szarpak L. Is there any alternative to standard chest compression techniques in infants? A randomized manikin trial of the new "2-thumb-fist" option. Medicine (Baltimore). 2018 Feb;97(5):e9386. doi: 10.1097/MD.0000000000009386.

Reference Type BACKGROUND
PMID: 29384839 (View on PubMed)

Smereka J, Szarpak L, Smereka A, Leung S, Ruetzler K. Evaluation of new two-thumb chest compression technique for infant CPR performed by novice physicians. A randomized, crossover, manikin trial. Am J Emerg Med. 2017 Apr;35(4):604-609. doi: 10.1016/j.ajem.2016.12.045. Epub 2016 Dec 19.

Reference Type BACKGROUND
PMID: 28040386 (View on PubMed)

Other Identifiers

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NLS_2018_UL

Identifier Type: -

Identifier Source: org_study_id

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