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Analysis of Chest-Compression Depth and Full Recoil in Two Infant Chest-Compression Techniques Performed by a Single Rescuer: Systematic Review and Meta-Analysis

Author

Listed:
  • Chun-Yu Chang

    (School of Medicine, Tzu Chi University, Hualien 970, Taiwan
    These authors contributed equally.)

  • Po-Chen Lin

    (Department of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei 231, Taiwan
    Department of Emergency Medicine, School of Medicine, Tzu Chi University, Hualien 970, Taiwan
    These authors contributed equally.)

  • Yung-Jiun Chien

    (Department of Physical Medicine and Rehabilitation, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei 231, Taiwan)

  • Chien-Sheng Chen

    (Department of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei 231, Taiwan
    Department of Emergency Medicine, School of Medicine, Tzu Chi University, Hualien 970, Taiwan)

  • Meng-Yu Wu

    (Department of Emergency Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei 231, Taiwan
    Department of Emergency Medicine, School of Medicine, Tzu Chi University, Hualien 970, Taiwan)

Abstract

Pediatric cardiac arrest is associated with high mortality and permanent neurological injury. We aimed to compare the effects of the two-thumb (TT) and two-finger (TF) techniques in infant cardiopulmonary resuscitation (CPR) performed by a single rescuer. We searched PubMed, EMBASE, and CENTRAL for randomized control trials published before December 2019. Studies comparing the TT and TF techniques in infant CPR were included for meta-analysis. Relevant information was extracted for methodological assessment. Twelve studies were included. The TT technique was associated with deeper chest-compression depth (mean difference: 4.71 mm; 95% confidence interval: 3.61 to 5.81; p < 0.001) compared with the TF technique. The TF technique was better in terms of the proportion of complete chest recoil (mean difference: −11.73%; 95% confidence interval: −20.29 to −3.17; p = 0.007). CPR was performed on a manikin model, and the application of the results to real human beings may be limited. The TT technique was superior to the TF technique in terms of chest-compression depth, but with inferior chest full recoil. Future investigations should focus on modifying the conventional TT technique to generate greater compression depth and achieve complete chest recoil.

Suggested Citation

  • Chun-Yu Chang & Po-Chen Lin & Yung-Jiun Chien & Chien-Sheng Chen & Meng-Yu Wu, 2020. "Analysis of Chest-Compression Depth and Full Recoil in Two Infant Chest-Compression Techniques Performed by a Single Rescuer: Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(11), pages 1-17, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:11:p:4018-:d:367639
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    References listed on IDEAS

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