Chest Compression Quality, Fatigue Symptom, Pediatrics, Resuscitation, Simulated Pediatric Cardiopulmonary Resuscitation
Conditions
Keywords
Pediatric Cardiopulmonary Resuscitation, Compressor Rotation, Simulation Training, Fatigue, Randomized Crossover Study
Brief summary
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.
Detailed description
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.
Interventions
OTHEROne-Minute Compressor Rotation
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.
OTHERTwo-Minute Compressor Rotation
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.
Sponsors
Hacettepe University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
NONE
Intervention model description
Participants completed two simulated pediatric CPR sessions using both compressor rotation strategies. In one session, compressors rotated every one minute, and in the other session, compressors rotated every two minutes. The order of the two strategies was randomized.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Chest Compression Rate During Simulated Pediatric CPR | 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. |
| Chest Recoil Velocity During Simulated Pediatric CPR | 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. |
| Proportion of Adequate Chest Compressions | 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
| Measure | Time frame | Description |
|---|---|---|
| Participant-Reported Fatigue | 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. |
| Blood Pressure Response Before and After Simulated Pediatric CPR | 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. |
| Heart Rate Response During Simulated Pediatric CPR | 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. |
Countries
Turkey (Türkiye)
Outcome results
None listed