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Two-Thumb or Two-Finger Technique in Infant Cardiopulmonary Resuscitation by a Single Rescuer? A Meta-Analysis with GOSH Analysis

Author

Listed:
  • Chun-Yu Chang

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

  • Yueh-Tseng Hou

    (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 to the work.)

  • Yung-Jiun Chien

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

  • Yu-Long 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)

  • 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)

  • 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

Out-of-hospital infant cardiopulmonary arrest is a fatal and uncommon event. High mortality rates and poor neurological outcomes may be improved by early cardiopulmonary resuscitation (CPR). The ongoing debate over two different infant CPR techniques, the two-thumb (TT) and the two-finger (TF) technique, has remained, especially in terms of the adequate compression depth, compression rate, and hands-off time. In this article, we searched three major databases, PubMed, EMBASE (Excerpta Medica database), and CENTRAL (Cochrane Central Register of Controlled Trials), for randomized control trials which compared the outcomes of interest between the TT and TF techniques in infant CPR. The results showed that the TT technique was associated with higher proportion of adequate compression depth (Mean difference (MD): 19.99%; 95%, Confidence interval (CI): 9.77 to 30.22; p < 0.01) than the TF technique. There was no significant difference in compression rate and hands-off time. In our conclusion, the TT technique is better in terms of adequate compression depth than the TF technique, without significant differences in compression rate and hands-off time.

Suggested Citation

  • Chun-Yu Chang & Yueh-Tseng Hou & Yung-Jiun Chien & Yu-Long Chen & Po-Chen Lin & Chien-Sheng Chen & Meng-Yu Wu, 2020. "Two-Thumb or Two-Finger Technique in Infant Cardiopulmonary Resuscitation by a Single Rescuer? A Meta-Analysis with GOSH Analysis," IJERPH, MDPI, vol. 17(14), pages 1-19, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:14:p:5214-:d:386702
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    References listed on IDEAS

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