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Vol. 43. Issue 6.
Pages 346-351 (August - September 2019)
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Vol. 43. Issue 6.
Pages 346-351 (August - September 2019)
Original
DOI: 10.1016/j.medine.2019.05.001
A new chest compression technique in infants
Nueva técnica de masaje cardíaco en lactantes
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E. Rodriguez-Ruiza,c,
Corresponding author
erguezr@gmail.com

Corresponding author.
, V. Guerra Martínb, C. Abelairas-Gómezc,d, F. Sampedro Vidale, C. Gómez Gonzálezf, R. Barcala-Furelosg, A. Rodríguez-Nuñezc,h,i
a Servicio de Medicina Intensiva, Hospital Clínico Universitario de Santiago de Compostela, SERGAS, Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain
b Servicio de Pediatría, Hospital Universitario de Canarias, Santa Cruz de Tenerife, Spain
c Grupos de investigación CLINURSID, de la Universidad de Santiago de Compostela y Soporte Vital y Simulación del Instituto de Investigación de Santiago (IDIS), Santiago de Compostela, Spain
d Facultad de Ciencias de la Educación, Universidad de Santiago de Compostela, Spain
e Facultad de Enfermería, Universidad de Santiago de Compostela, Spain
f Servicio de Pediatría, Complejo Hospitalario Universitario de Coruña, La Coruña, Spain
g Grupo de Investigación REMOSS, Facultad de Ciencias de la Educación Física y el Deporte, Universidad de Vigo, Pontevedra, Spain
h Unidad de Cuidados Intensivos Pediátricos, Hospital Clínico Universitario de Santiago de Compostela, SERGAS, Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain
i Red de Salud Materno-Infantil SAMID-III, Instituto de Salud Carlos III, Madrid, Spain
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Table 1. Comparison of quality parameters of chest compressions based on the new method (NM) or the traditional method (TM).
Abstract
Objective

To compare the quality of chest compressions performed according to the classical technique (MT) vs. a new technique (NM) (compression with 2 thumbs with closed fists) in an infant manikin.

Design

A controlled, randomized cross-over study was carried out in professionals assisting pediatric patients.

Setting

A University Hospital with a Pediatric ICU in the north of Spain.

Participants

Residents and nurses in Pediatrics who had completed a basic and an advanced pediatric cardiopulmonary resuscitation course.

Interventions

Quantitative analysis of the variables referred to chest compression quality in a 2-min cardiopulmonary resuscitation scenario in infants. Laerdal's SimPad® with SkillReporter™ system was used.

Main variables of interest

Mean rate and percentage of compressions in the recommended rate range, mean depth and percentage of compressions within the depth range of recommendations, percentage of compressions with adequate decompression, and percentage of compressions performed with the fingers in the center of the chest.

Results

Global quality of the compressions (NM: 84.2±23.7% vs. MT: 80.1±25.4% [P=.25; P=ns]), percentage of compressions with correct depth (NM: 59.9±35.8% vs. MT: 59.5±35.7% [P=.76; P=ns]), mean depth reached (NM: 37.3±3.8mm vs. MT: 36±5.3mm [P=.06; P=ns]), percentage of complete re-expansion of the chest (NM: 94.4±9.3% vs. MT: 92.4±18.3% [P=.58; P=ns]), and percentage of compressions with the recommended rate (NM: 62.2±34.6% vs. MT: 51±37.2% [P=.13; P=ns]) proved similar with both methods.

Conclusions

The quality of chest compressions with the new method (thumbs with closed fists) is similar to that afforded by the traditional method.

Keywords:
Cardiopulmonary resuscitation [E02.365.647.110]
Heart massage [E02.365.647.375]
Advanced cardiac life support [E02.365.647.110.500]
Infant [M01.060.703]
Pediatric emergency medicine [H02.403.670.450]
Teacher training [I02.358.984]
Resumen
Objetivo

Comparar en un maniquí de lactante la calidad de las compresiones torácicas según el método tradicional (MT) o según la nueva técnica de 2 pulgares con puños cerrados (NM).

Diseño

Estudio controlado, aleatorizado y cruzado en profesionales.

Ámbito

Hospital Universitario con UCI Pediátrica del norte de España.

Participantes

Residentes y enfermeros de Pediatría, habiendo superado un curso de RCP básica y avanzada pediátrica.

Intervenciones

Análisis cuantitativo de calidad de compresiones torácicas en escenario de RCP en lactante durante 2min, mediante el sistema SimPad® con SkillReporter™ de Laerdal.

Variables de interés principales

Frecuencia media y porcentaje de compresiones en rango recomendada, profundidad media y porcentaje de compresiones en rango recomendado, porcentaje de compresiones con descompresión adecuada y porcentaje de compresiones realizadas con los dedos en el centro del tórax.

Resultados

La calidad global de las compresiones (NM: 84,2±23,7% vs. MT: 80,1±25,4% [p=0,25; no sig.]), el porcentaje de compresiones con profundidad correcta (NM: 59,9±35,8% vs. MT: 59,5±35,7% [p=0,76; no sig.]), la profundidad media alcanzada (NM: 37,3±3,8mm vs. MT: 36±5,3mm [p=0,06; no sig.]), el porcentaje de reexpansión completa de la caja torácica (NM: 94,4±9,3% vs. MT: 92,4±18,3% [p=0,58; no sig.]) y el porcentaje de compresiones con la frecuencia recomendada (NM: 62,2±34,6% vs. MT: 51±37,2% [p=0,13; no sig.]) fueron similares con los 2 métodos.

Conclusiones

La calidad de compresiones torácicas con el nuevo método (pulgares con los puños cerrados) es similar a la obtenida con el método tradicional.

Palabras clave:
Reanimación cardipulmonar [E02.365.647.110]
Masaje cardiaco [E02.365.647.375]
Soporte Avanzado de Vida Cardiaca [E02.365.647.110.500]
Niños [M01.060.703]
Medicina de urgencia pediátrica [H02.403.670.450]
Formación [I02.358.984]

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