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Infant Chest Compression

Primary Purpose

Cardiopulmonary Arrest

Status
Completed
Phase
Not Applicable
Locations
Poland
Study Type
Interventional
Intervention
cardiopulmonary resuscitation
Sponsored by
Medical University of Warsaw
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cardiopulmonary Arrest focused on measuring infant, cardiopulmonary resuscitation, hemodynamics, chest compressions

Eligibility Criteria

22 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • active paramedics
  • voluntary consent

Exclusion Criteria:

  • pregnancy
  • back pain
  • wrist pain

Sites / Locations

  • Medical University of Warsaw, Department of Emergency Medicine

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Two finger technique

Two thumb technique

new two-thumb technique

Arm Description

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

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

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

Outcomes

Primary Outcome Measures

systolic blood pressure
The blood measurement system was calibrated before each CPR setting and blood pressure including systolic blood pressure (SBP)

Secondary Outcome Measures

diastolic blood pressure
The blood measurement system was calibrated before each CPR setting and blood pressure including diastolic blood pressure (DBP)
mean arterial pressure
The blood measurement system was calibrated before each CPR setting and blood pressure including systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP)

Full Information

First Posted
December 21, 2016
Last Updated
December 21, 2016
Sponsor
Medical University of Warsaw
Collaborators
Jacek Smereka, Antonio Rodríguez-Núñez, Jerzy R Ladny, Steve Leung, Kurt Ruetzler
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1. Study Identification

Unique Protocol Identification Number
NCT03004157
Brief Title
Infant Chest Compression
Official Title
A Randomized Comparison of Three Chest Compression Techniques and Associated Hemodynamic Effect During Infant CPR: a Randomized Manikin Study
Study Type
Interventional

2. Study Status

Record Verification Date
December 2016
Overall Recruitment Status
Completed
Study Start Date
July 2016 (undefined)
Primary Completion Date
August 2016 (Actual)
Study Completion Date
August 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Medical University of Warsaw
Collaborators
Jacek Smereka, Antonio Rodríguez-Núñez, Jerzy R Ladny, Steve Leung, Kurt Ruetzler

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Pediatric cardiac arrest is an uncommon but critical life-threatening event requiring effective cardiopulmonary resuscitation (CPR). About 16,000 pediatric cardiac arrests occurs in the United States annually. Only 8% of the patients survive to hospital discharge and of these, up to two-thirds have neurological sequelae. Majority of pediatric cardiac arrest are below age of two and have poorer chance of survival versus older children

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cardiopulmonary Arrest
Keywords
infant, cardiopulmonary resuscitation, hemodynamics, chest compressions

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Crossover Assignment
Masking
Participant
Allocation
Randomized
Enrollment
42 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Two finger technique
Arm Type
Experimental
Arm Description
Two finger technique TFT: the pediatric thorax is compressed with the tips of two fingers and is recommended for lone rescuer during infant CPR by international CPR guidelines
Arm Title
Two thumb technique
Arm Type
Experimental
Arm Description
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
Arm Title
new two-thumb technique
Arm Type
Experimental
Arm Description
new two-thumb technique' (nTTT): this technique consists in using two thumbs directed at the angle of 90 degrees to the chest while closing the fingers of both hands in a fist
Intervention Type
Procedure
Intervention Name(s)
cardiopulmonary resuscitation
Intervention Description
CPR for 10 minutes with a chest compression: ventilation ratio of 15:2 according to international CPR guidelines
Primary Outcome Measure Information:
Title
systolic blood pressure
Description
The blood measurement system was calibrated before each CPR setting and blood pressure including systolic blood pressure (SBP)
Time Frame
1 day
Secondary Outcome Measure Information:
Title
diastolic blood pressure
Description
The blood measurement system was calibrated before each CPR setting and blood pressure including diastolic blood pressure (DBP)
Time Frame
1 day
Title
mean arterial pressure
Description
The blood measurement system was calibrated before each CPR setting and blood pressure including systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP)
Time Frame
1 day

10. Eligibility

Sex
All
Minimum Age & Unit of Time
22 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: active paramedics voluntary consent Exclusion Criteria: pregnancy back pain wrist pain
Facility Information:
Facility Name
Medical University of Warsaw, Department of Emergency Medicine
City
Warsaw
State/Province
Masovia
ZIP/Postal Code
02-005
Country
Poland

12. IPD Sharing Statement

Plan to Share IPD
Undecided

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Infant Chest Compression

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