Optimum Hand Position During Cardiopulmonary Resuscitation

The almost evidences of the optimal hand position during compression had been based on chest computed tomography (CT) or chest plain films of patients for investigating the effective location for compressing the left ventricle of the heart during cardiopulmonary resuscitation (CPR).

However every study was conducted at full inspired state of respiration. A prospective cohort study to evaluate the proper hand position during CPR based on expired respiratory state CT as the health screening would be needed.

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Key information

Conditions

Cardiopulmonary Resuscitation Hand Position

Age range

19 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

over 18 years of age
no history of heart or lung disease
no history of chest or abdominal surgery

Exclusion criteria

abnormal findings in LDCT, which might influence inspiration or expiration, were excluded after image interpretation by the board certified radiologists

Treatment and study plan

low dose chest computed tomography

Radiation

All participants were evaluated 2 scout films during LDCT screenings. The first scout film was obtained while a participant was holding a comfortable expiration with the arms at down position, and the second scout film was obtained while a full inspiration with the arms at raised position. The axial images of LDCT were taken during participants' full inspiration. The radio-opaque marker was attached to the participants' skin where the lowest part of sternum was palpable, because the sternum moves according to the position of arms and respiration.

Primary outcomes

proper hand position during CPR using the scout film of low dose chest computed tomography

Time frame: five months

proper hand position during CPR based on comparison between expiration with the arms at down position and inspiration the arms at raised position.

Measurement will be assessed with a length of xiphoid process to arbitrary center of heart

Secondary outcomes

predicted compressed organs in CPR using the scout film of low dose chest computed tomography Measurement will be assessed with scout film silhouette of organs under quarterly divided sternum.

Time frame: five months

Sponsors and collaborators

Lead sponsor

Seoul National University Bundang Hospital

Other

Registry information

Official study title

Optimum Hand Position During Cardiopulmonary Resuscitation: Comparing Expiration and Inspiration View of the Scout Film of the Low Dose Chest Computed Tomography

Important dates

Study start: 2015
Primary completion: 2015
Study completion: 2015
First posted: Mar 22, 2016
Registry last updated: Apr 18, 2018

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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Completed