@article{uneatlantico2503,
           month = {Junio},
          volume = {9},
          author = {Roberto Barcala-Furelos and Mart{\'i}n Barcala Furelos and Francisco Cano-Noguera and Mart{\'i}n Otero-Agra and Alejandra Alonso-Calvete and Santiago Mart{\'i}nez-Isasi and Silvia Aranda-Garc{\'i}a and Sergio L{\'o}pez-Garc{\'i}a and Antonio Rodr{\'i}guez-N{\'u}{\~n}ez},
           pages = {910},
            year = {2022},
         journal = {Children},
           title = {A Comparison between Three Different Techniques Considering Quality Skills, Fatigue and Hand Pain during a Prolonged Infant Resuscitation: A Cross-Over Study with Lifeguards},
          number = {6},
        abstract = {The aim of the study was to compare the quality of CPR (Q-CPR), as well as the perceived fatigue and hand pain in a prolonged infant cardiopulmonary resuscitation (CPR) performed by lifeguards using three different techniques. A randomized crossover simulation study was used to compare three infant CPR techniques: the two-finger technique (TF); the two-thumb encircling technique (TTE) and the two-thumb-fist technique (TTF). 58 professional lifeguards performed three tests in pairs during a 20-min period of CPR. The rescuers performed compressions and ventilations in 15:2 cycles and changed their roles every 2 min. The variables of analysis were CPR quality components, rate of perceived exertion (RPE) and hand pain with numeric rating scale (NRS). All three techniques showed high Q-CPR results (TF: 86 {$\pm$} 9\%/TTE: 88 {$\pm$} 9\%/TTF: 86 {$\pm$} 16\%), and the TTE showed higher values than the TF (p = 0.03). In the RPE analysis, fatigue was not excessive with any of the three techniques (values 20 min between 3.2 for TF, 2.4 in TTE and 2.5 in TTF on a 10-point scale). TF reached a higher value in RPE than TTF in all the intervals analyzed (p {\ensuremath{<}} 0.05). In relation to NRS, TF showed significantly higher values than TTE and TTF (NRS minute 20 = TF 4.7 vs. TTE 2.5 \& TTF 2.2; p {\ensuremath{<}} 0.001). In conclusion, all techniques have been shown to be effective in high-quality infant CPR in a prolonged resuscitation carried out by lifeguards. However, the two-finger technique is less efficient in relation to fatigue and hand pain compared with two-thumb technique (TF vs. TTF, p = 0.01).},
             url = {http://repositorio.uneatlantico.es/id/eprint/2503/},
        keywords = {lifeguards; infants; resuscitation; chest compression; two fingers; two thumbs}
}