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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Firstly&#44; we would like to thank Dr&#46; Szarpak and Dr&#46; Smereka for their thoughtful letter&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">1</span></a> The objective of our preliminary study was to carry out a small scale non-inferiority test<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">2</span></a> to assess the novel method of chest compressions in infants &#40;nTTT&#41; previously described by the authors&#8217; team&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">3</span></a> Having in mind the current worldwide recommendations for chest compressions in infants we opted by this &#8220;conservative &#40;first do not harm&#41; hypothesis&#8221; as a first step in the way to test superiority of the new technique&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">As we have discussed&#44; our study demonstrated non-inferiority of the nTTT when compared to the currently recommended two-thumb encircling hands technique &#40;TTHT&#41; applied by healthcare professionals who&#44; although they have been trained and had previously demonstrated their ability to apply TTHT&#44; practically did not know the nTTT &#40;only 5<span class="elsevierStyleHsp" style=""></span>min of explanation and another 5<span class="elsevierStyleHsp" style=""></span>min of hands-on practice&#41; at the time of the study&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">2</span></a> These results suggest us that if the participants had been similarly trained with both techniques&#44; a clear advantage of nTTT might be expected&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">We also think that nTTT currently is more than a promising pediatric resuscitation technique and that it should be explored not only in its original form &#40;&#8220;using two thumbs directed at the angle of 90&#176; to the chest while closing the fingers of both hands in a fist&#8221;&#41;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">3</span></a> but also in its possible variants &#40;natural variability&#41;&#46; In this sense&#44; we were glad to read the recently published paper by Ruetzler K&#44; et al&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">4</span></a> analyzing how the angle of thumbs during chest compressions with nTTT &#40;45&#176; vs&#46; 90&#176;&#41; could influence the resuscitation quality parameters&#46; According to such results we consider that further research in this field is rational&#44; in order to obtain new evidences that could contribute to improve the chest compressions quality delivered to infants both by bystanders as well as by well-trained professionals with duty to assist&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Once again we would like to congratulate Drs&#46; Smereka and Szarpak for their contribution to the innovation in the field of pediatric life support&#46;</p></span>"
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Letter to the Editor
In reply to “The thumbs angle used in the novel infant chest compression technique (nTTT) can influence the quality parameters of resuscitation”
En respuesta a “El ángulo de los pulgares utilizado en la nueva técnica de compresión de tórax infantil (nTTT) puede influir en los parámetros de calidad de la reanimación”
E. Rodriguez-Ruiza,b,
Corresponding author
r.ruizemilio@gmail.com

Corresponding author.
, A. Rodríguez-Nuñezb,c,d
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 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
c Unidad de Cuidados Intensivos Pediátricos, Hospital Clínico Universitario de Santiago de Compostela, SERGAS, Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain
d Red de Salud Materno-Infantil SAMID-III, Instituto de Salud Carlos III, Madrid, Spain
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        "titulo" => "En respuesta a &#8220;El &#225;ngulo de los pulgares utilizado en la nueva t&#233;cnica de compresi&#243;n de t&#243;rax infantil &#40;nTTT&#41; puede influir en los par&#225;metros de calidad de la reanimaci&#243;n&#8221;"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Firstly&#44; we would like to thank Dr&#46; Szarpak and Dr&#46; Smereka for their thoughtful letter&#46;<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">1</span></a> The objective of our preliminary study was to carry out a small scale non-inferiority test<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">2</span></a> to assess the novel method of chest compressions in infants &#40;nTTT&#41; previously described by the authors&#8217; team&#46;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">3</span></a> Having in mind the current worldwide recommendations for chest compressions in infants we opted by this &#8220;conservative &#40;first do not harm&#41; hypothesis&#8221; as a first step in the way to test superiority of the new technique&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">As we have discussed&#44; our study demonstrated non-inferiority of the nTTT when compared to the currently recommended two-thumb encircling hands technique &#40;TTHT&#41; applied by healthcare professionals who&#44; although they have been trained and had previously demonstrated their ability to apply TTHT&#44; practically did not know the nTTT &#40;only 5<span class="elsevierStyleHsp" style=""></span>min of explanation and another 5<span class="elsevierStyleHsp" style=""></span>min of hands-on practice&#41; at the time of the study&#46;<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">2</span></a> These results suggest us that if the participants had been similarly trained with both techniques&#44; a clear advantage of nTTT might be expected&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">We also think that nTTT currently is more than a promising pediatric resuscitation technique and that it should be explored not only in its original form &#40;&#8220;using two thumbs directed at the angle of 90&#176; to the chest while closing the fingers of both hands in a fist&#8221;&#41;<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">3</span></a> but also in its possible variants &#40;natural variability&#41;&#46; In this sense&#44; we were glad to read the recently published paper by Ruetzler K&#44; et al&#46;<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">4</span></a> analyzing how the angle of thumbs during chest compressions with nTTT &#40;45&#176; vs&#46; 90&#176;&#41; could influence the resuscitation quality parameters&#46; According to such results we consider that further research in this field is rational&#44; in order to obtain new evidences that could contribute to improve the chest compressions quality delivered to infants both by bystanders as well as by well-trained professionals with duty to assist&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Once again we would like to congratulate Drs&#46; Smereka and Szarpak for their contribution to the innovation in the field of pediatric life support&#46;</p></span>"
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Article information
ISSN: 21735727
Original language: English
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Idiomas
Medicina Intensiva (English Edition)
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