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Completed

NCT Number: NCT07624851

One-Minute Versus Two-Minute Compressor Rotation During Simulated Pediatric CPR

The goal of this clinical trial is to compare one-minute and two-minute compressor rotation intervals during simulated pediatric cardiopulmonary resuscitation, also called CPR. The study will include healthcare professionals who perform chest compressions on a pediatric manikin in a simulated resuscitation setting.

The main questions this study aims to answer are:

Does one-minute compressor rotation improve chest compression quality compared with two-minute compressor rotation? Does one-minute compressor rotation reduce participant fatigue compared with two-minute compressor rotation?

Participants will perform chest compressions during two simulated pediatric CPR sessions. In one session, compressors will rotate every one minute. In the other session, compressors will rotate every two minutes. Researchers will compare CPR performance measures and participant-reported fatigue between the two rotation intervals.

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Key information

Conditions

Pediatrics Chest Compression Quality Fatigue Fatigue Symptom Pathological Conditions, Signs and Symptoms Resuscitation Signs and Symptoms Simulated Pediatric Cardiopulmonary Resuscitation

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Hacettepe University

Ankara, 06230, Turkey (Türkiye)

About this study

This randomized crossover pilot study evaluates two different compressor rotation intervals during simulated pediatric cardiopulmonary resuscitation. The study is conducted in a simulation setting using a pediatric manikin. No patients are involved, and no clinical care is delivered.

Participants are healthcare professionals trained in pediatric resuscitation. Each participant pair completes two CPR scenarios. In one scenario, chest compressors rotate every one minute. In the other scenario, chest compressors rotate every two minutes. The order of the two scenarios is randomized.

The study compares objective CPR performance metrics obtained during the simulation, including measures related to chest compression quality. It also evaluates participant-reported fatigue after each scenario. Because each pair completes both rotation strategies, the crossover design allows comparison of the two approaches within the same participant pair.

The purpose of this pilot study is to explore whether a shorter compressor rotation interval may help maintain CPR quality or reduce fatigue during simulated pediatric CPR. The findings may help guide future simulation-based research and training strategies for pediatric resuscitation teams.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Volunteer pediatric residents
  • Previous cardiopulmonary resuscitation training
  • Prior clinical cardiopulmonary resuscitation experience
  • Ability to participate in both simulated pediatric CPR sessions
  • Written informed consent provided before study participation

Exclusion criteria

  • No previous Pediatric Advanced Life Support course attendance
  • No prior clinical cardiopulmonary resuscitation experience
  • Currently rotating in the pediatric emergency department or pediatric ward during the study period
  • Emergency medicine residents
  • Presence of a chronic medical condition that could affect physical performance during chest compressions

Treatment and study plan

One-Minute Compressor Rotation

Other

During simulated pediatric cardiopulmonary resuscitation, chest compressors rotated every one minute. Participants performed chest compressions on a pediatric manikin, and CPR performance metrics were recorded during the simulation.

Two-Minute Compressor Rotation

Other

During simulated pediatric cardiopulmonary resuscitation, chest compressors rotated every two minutes. Participants performed chest compressions on a pediatric manikin, and CPR performance metrics were recorded during the simulation.

Primary outcomes

  1. Chest Compression Rate During Simulated Pediatric CPR

    Time frame: From 0 to 20 minutes after the start of each simulated CPR session

    Chest compression rate was recorded using a manikin-based CPR feedback device during each 20-minute simulated pediatric CPR session. The rate was compared between the one-minute and two-minute compressor rotation conditions.

  2. Chest Recoil Velocity During Simulated Pediatric CPR

    Time frame: From 0 to 20 minutes after the start of each simulated CPR session

    Chest recoil velocity was recorded using a manikin-based CPR feedback device during each 20-minute simulated pediatric CPR session and compared between the one-minute and two-minute compressor rotation conditions.

  3. Proportion of Adequate Chest Compressions

    Time frame: From 0 to 20 minutes after the start of each simulated CPR session

    The proportion of adequate chest compressions was defined as the proportion of compressions meeting the pre-specified rate and depth targets. Adequate compressions were defined as compressions delivered at a rate of 100 to 120 compressions per minute and a target depth of at least 5 cm

Secondary outcomes

  1. Participant-Reported Fatigue

    Time frame: At 4, 8, 12, 16, and 20 minutes after the start of each simulated CPR session

    Participant fatigue was assessed using a 10-point Likert-type fatigue scale. Scores range from 1 to 10, with 1 indicating the least fatigue and 10 indicating the most fatigue. Higher scores indicate worse fatigue. Fatigue scores were compared between the one-minute and two-minute compressor rotation conditions.

  2. Blood Pressure Response Before and After Simulated Pediatric CPR

    Time frame: At baseline and immediately after completion of each simulated CPR session

    Systolic and diastolic blood pressure were measured at baseline and at the end of each 20-minute simulated CPR session. Blood pressure responses were compared between the one-minute and two-minute compressor rotation conditions.

  3. Heart Rate Response During Simulated Pediatric CPR

    Time frame: At baseline and at 4, 8, 12, 16, and 20 minutes after the start of each simulated CPR session

    Participant heart rate was measured in beats per minute (bpm) using a standard monitor. Heart rate values were compared between the one-minute and two-minute compressor rotation conditions.

Sponsors and collaborators

Lead sponsor

Hacettepe University

Other

Registry information

Official study title

One-Minute Versus Two-Minute Compressor Rotation During Simulated Pediatric CPR: A Randomized Crossover Pilot Study

Acronym: CPR-ROT

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
Jun 3, 2026
Registry last updated
Jun 3, 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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