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Infant Chest Compression

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ClinicalTrials.gov Identifier: NCT03004157
Recruitment Status : Completed
First Posted : December 28, 2016
Last Update Posted : December 28, 2016
Sponsor:
Collaborators:
Jacek Smereka
Antonio Rodríguez-Núñez
Jerzy R Ladny
Steve Leung
Kurt Ruetzler
Information provided by (Responsible Party):
Łukasz Szarpak, Medical University of Warsaw

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

Condition or disease Intervention/treatment Phase
Cardiopulmonary Arrest Procedure: cardiopulmonary resuscitation Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 42 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single (Participant)
Primary Purpose: Treatment
Official Title: A Randomized Comparison of Three Chest Compression Techniques and Associated Hemodynamic Effect During Infant CPR: a Randomized Manikin Study
Study Start Date : July 2016
Actual Primary Completion Date : August 2016
Actual Study Completion Date : August 2016

Resource links provided by the National Library of Medicine

MedlinePlus related topics: CPR Cardiac Arrest

Arm Intervention/treatment
Experimental: Two finger technique
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
Procedure: cardiopulmonary resuscitation
CPR for 10 minutes with a chest compression: ventilation ratio of 15:2 according to international CPR guidelines

Experimental: Two thumb 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
Procedure: cardiopulmonary resuscitation
CPR for 10 minutes with a chest compression: ventilation ratio of 15:2 according to international CPR guidelines

Experimental: new two-thumb technique
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
Procedure: cardiopulmonary resuscitation
CPR for 10 minutes with a chest compression: ventilation ratio of 15:2 according to international CPR guidelines




Primary Outcome Measures :
  1. systolic blood pressure [ Time Frame: 1 day ]
    The blood measurement system was calibrated before each CPR setting and blood pressure including systolic blood pressure (SBP)


Secondary Outcome Measures :
  1. diastolic blood pressure [ Time Frame: 1 day ]
    The blood measurement system was calibrated before each CPR setting and blood pressure including diastolic blood pressure (DBP)

  2. mean arterial pressure [ Time Frame: 1 day ]
    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)



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Ages Eligible for Study:   22 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • active paramedics
  • voluntary consent

Exclusion Criteria:

  • pregnancy
  • back pain
  • wrist pain

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03004157


Locations
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Poland
Medical University of Warsaw, Department of Emergency Medicine
Warsaw, Masovia, Poland, 02-005
Sponsors and Collaborators
Medical University of Warsaw
Jacek Smereka
Antonio Rodríguez-Núñez
Jerzy R Ladny
Steve Leung
Kurt Ruetzler
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Responsible Party: Łukasz Szarpak, PhD, DPH, EMT-P, Medical University of Warsaw
ClinicalTrials.gov Identifier: NCT03004157    
Other Study ID Numbers: Infant11/2016
First Posted: December 28, 2016    Key Record Dates
Last Update Posted: December 28, 2016
Last Verified: December 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided
Keywords provided by Łukasz Szarpak, Medical University of Warsaw:
infant
cardiopulmonary resuscitation
hemodynamics
chest compressions
Additional relevant MeSH terms:
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Heart Arrest
Heart Diseases
Cardiovascular Diseases