• Alexandros Douvanas, Christina Koulouglioti, and Maria Kalafati.
• a Infection Control Committee , Pediatric Hospital of Athens, "P & A Kyriakou" , Athens , Greece.
• J. Matern. Fetal. Neonatal. Med. 2018 Mar 1; 31 (6): 805-816.

AimThe quality of chest compression (CC) delivered during neonatal and infant cardiopulmonary resuscitation (CPR) is identified as the most important factor to achieve the increase of survival rate without major neurological deficit to the patients. The objective of the study was to systematically review all the available studies that have compared the two different techniques of hand placement on infants and neonatal resuscitation, from 2010 to 2015 and to highlight which method is more effective.MethodsA review of the literature using a variety of medical databases, including Cochrane, MEDLINE, and SCOPUS electronic databases. The following MeSH terms were used in the search: infant, neonatal, CPR, CC, two-thumb (TT) technique/method, two-finger (TF) technique/method, rescuer fatigue, thumb/finger position/placement, as well as combinations of these.ResultsTen studies met the inclusion criteria; nine observational studies and a randomized controlled trial. All providers performed either continuous TF or TT technique CCs and the majority of CPR performance was taken place in infant trainer manikin.ConclusionsThe majority of the studies suggest the TT method as the more useful for infants and neonatal resuscitation than the TF.

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