A Comparison between Three Different Techniques Considering Quality Skills, Fatigue and Hand Pain during a Prolonged Infant Resuscitation: A Cross-Over Study with Lifeguards
Roberto Barcala-Furelos,
Martín Barcala-Furelos,
Francisco Cano-Noguera,
Martín Otero-Agra,
Alejandra Alonso-Calvete,
Santiago Martínez-Isasi,
Silvia Aranda-García,
Sergio López-García,
Antonio Rodríguez-Núñez
Affiliations
Roberto Barcala-Furelos
REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, 36005 Pontevedra, Spain
Martín Barcala-Furelos
Faculty of Health Sciences, Universidad Europea del Atlántico, 39011 Santander, Spain
Francisco Cano-Noguera
INGESPORT Research Group, Department of Physical Activity and Sports, University of Murcia, 30720 San Javier, Spain
Martín Otero-Agra
REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, 36005 Pontevedra, Spain
Alejandra Alonso-Calvete
REMOSS Research Group, Faculty of Education and Sport Sciences, Universidade de Vigo, 36005 Pontevedra, Spain
Santiago Martínez-Isasi
Research, Health and Podiatry Unit, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, 15071 A Coruña, Spain
Silvia Aranda-García
National Institute of Physical Education of Catalonia, Barcelona University, 08038 Barcelona, Spain
Sergio López-García
Faculty of Education, Pontifical University of Salamanca, 37002 Salamanca, Spain
Antonio Rodríguez-Núñez
Paediatric Intensive Care, Paediatric Intermediate Care and Palliative Care Units, Department of Paediatrics, Hospital Clínico Universitario de Santiago de Compostela, 15706 Santiago de Compostela, Spain
The aim of the study was to compare the quality of CPR (Q-CPR), as well as the perceived fatigue and hand pain in a prolonged infant cardiopulmonary resuscitation (CPR) performed by lifeguards using three different techniques. A randomized crossover simulation study was used to compare three infant CPR techniques: the two-finger technique (TF); the two-thumb encircling technique (TTE) and the two-thumb-fist technique (TTF). 58 professional lifeguards performed three tests in pairs during a 20-min period of CPR. The rescuers performed compressions and ventilations in 15:2 cycles and changed their roles every 2 min. The variables of analysis were CPR quality components, rate of perceived exertion (RPE) and hand pain with numeric rating scale (NRS). All three techniques showed high Q-CPR results (TF: 86 ± 9%/TTE: 88 ± 9%/TTF: 86 ± 16%), and the TTE showed higher values than the TF (p = 0.03). In the RPE analysis, fatigue was not excessive with any of the three techniques (values 20 min between 3.2 for TF, 2.4 in TTE and 2.5 in TTF on a 10-point scale). TF reached a higher value in RPE than TTF in all the intervals analyzed (p p p = 0.01).
