• E Rodriguez-Ruiz, V Guerra Martín, C Abelairas-Gómez, F Sampedro Vidal, C Gómez González, R Barcala-Furelos, and A Rodríguez-Nuñez.
• Servicio de Medicina Intensiva, Hospital Clínico Universitario de Santiago de Compostela, SERGAS, Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña, España; Grupos de investigación CLINURSID, de la Universidad de Santiago de Compostela y Soporte Vital y Simulación del Instituto de Investigación de Santiago (IDIS), Santiago de Compostela, España. Electronic address: erguezr@gmail.com.
• Med Intensiva. 2019 Aug 1; 43 (6): 346-351.

ObjectiveTo compare the quality of chest compressions performed according to the classical technique (MT) versus a new technique (NM) (compression with 2thumbs with closed fists) in an infant manikin.DesignA controlled, randomized cross-over study was carried out in professionals assisting pediatric patients.SettingA University Hospital with a Pediatric ICU in the north of Spain.ParticipantsResidents and nurses in Pediatrics who had completed a basic and an advanced pediatric cardiopulmonary resuscitation course.InterventionsQuantitative analysis of the variables referred to chest compression quality in a 2-minute cardiopulmonary resuscitation scenario in infants. Laerdal's SimPad® with SkillReporter™ system was used.Main Variables Of InterestMean rate and percentage of compressions in the recommended rate range, mean depth and percentage of compressions within the depth range of recommendations, percentage of compressions with adequate decompression, and percentage of compressions performed with the fingers in the center of the chest.ResultsGlobal quality of the compressions (NM: 84.2±23.7% vs. MT: 80.1±25.4% [p=0.25; p=ns]), percentage of compressions with correct depth (NM: 59.9±35.8% vs. MT: 59.5±35.7% [p=0.76; p=ns]), mean depth reached (NM: 37.3±3.8mm vs. MT: 36±5.3mm [p=0.06; p=ns]), percentage of complete re-expansion of the chest (NM: 94.4±9.3% vs. MT: 92.4±18.3% [p=0.58; p=ns]), and percentage of compressions with the recommended rate (NM: 62.2±34.6% vs. MT: 51±37.2% [p=0.13; p=ns]) proved similar with both methods.ConclusionsThe quality of chest compressions with the new method (thumbs with closed fists) is similar to that afforded by the traditional method.Copyright © 2018 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

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