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Completed

NCT Number: NCT07698340

Comparison of Different Chest Compression Techniques in Infant Resuscitation

In this prospective, single-center, randomized, self-controlled crossover manikin simulation study, participitants performed 2 minutes of single-rescuer CPR (30:2 compression-to-ventilation ratio) with each of the four techniques (the two-finger (2F), three-finger (3F), heel-of-one-hand (HOH), and two-thumb (2T) techniques) in a randomized order, with at least 10 minutes of rest between techniques. Chest compression depth, rate, release velocity, and the proportion of compressions within the target range were recorded using a feedback device. Provider fatigue and perceived difficulty (modified Borg scale) were assessed as secondary outcomes

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Key information

Conditions

Resuscitation Cardiac Arrest (CA) Cardiovascular Diseases Heart Arrest Heart Diseases

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

AnkaraCHBilkent

Ankara, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Resident physicians working in the Emergency Medicine Clinic of Ankara Bilkent City Hospital.
  • Voluntary agreement to participate in the study.

Exclusion criteria

  • Presence of a musculoskeletal disorder or disability that could interfere with CPR performance.
  • Unwillingness to participate.

Treatment and study plan

Two-Finger (2F) Technique

Procedure

Participants perform single-rescuer basic life support CPR on an infant manikin for 2 minutes using the two-finger chest compression technique with a 30:2 compression-to-ventilation ratio

Three-Finger (3F) Technique

Procedure

Participants perform single-rescuer basic life support CPR on an infant manikin for 2 minutes using the three-finger chest compression technique with a 30:2 compression-to-ventilation ratio.

Heel-of-One-Hand (HOH) Technique

Procedure

Participants perform single-rescuer basic life support CPR on an infant manikin for 2 minutes using the heel-of-one-hand chest compression technique with a 30:2 compression-to-ventilation ratio.

Two-Thumb (2T) Technique

Procedure

Participants perform single-rescuer basic life support CPR on an infant manikin for 2 minutes using the two-thumb chest compression technique with a 30:2 compression-to-ventilation ratio.

Primary outcomes

  1. Mean Chest Compression Depth

    Time frame: 2 minutes of CPR application

    Measured in centimeters (cm) using a CPR feedback device.

  2. Mean Chest Compression Rate

    Time frame: 2 minutes of CPR application

    Measured as compressions per minute

  3. Chest Compression Release Velocity

    Time frame: 2 minutes of CPR application

    Measured in millimeters per second (mm/s)

  4. Compressions Within Target Range

    Time frame: 2 minutes of CPR application

    Percentage of compressions performed within the target range.

Secondary outcomes

  1. Provider Fatigue

    Time frame: During the 2-minute CPR application

    Defined and recorded as a 10% reduction in compression depth sustained over three consecutive compressions.

  2. Perceived Difficulty

    Time frame: Assessed immediately after each 2-minute application.

    Subjective level of difficulty assessed using the modified Borg scale, graded from 0 (no difficulty) to 10 (most severe difficulty).

Sponsors and collaborators

Lead sponsor

Ankara City Hospital Bilkent

Other

Registry information

Official study title

Comparison of the Effectiveness of Different Chest Compression Techniques in Infant Resuscitation on a Manikin: A Prospective Randomized Simulation Study

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Jul 13, 2026
Registry last updated
Jul 13, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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