Acute cardiac care & resuscitation
The effect of hand position on chest compression quality during CPR in young children: Findings from the Videography in Pediatric Resuscitation (VIPER) collaborative
Authors' conclusion
In infants, 1H resulted in greater CC depth than 2 T. In children 1 to 8 yo, 2H resulted in greater depth than 1H..
Study context
- Population
- Patients < 8 years receiving chest compressions for > 2 minutes during CPR824 minutes of chest compression (CC)
- Participants
- 47 patients
- Exposure
- Hand positions for chest compressions: 2 T vs 2F vs 1H vs 2H
- Outcome
- CC quality (CC rate and depth) by hand position, stratified by age category
Methodological detailsvideo review, CC monitor device
- Video review
- CC monitor device
Main finding
As reported in the abstract
CC depth by hand position
- 1H vs 2 T: P < 0.01
- 2H vs 1H: P < 0.001
- Nonparametric univariate analysis
Observational data: associations, not effects.
Further findings
Hand position use, infants < 1 yo (270 CC segments)
| Outcome | 2 T | 2F | 1H | 2H | |
|---|---|---|---|---|---|
| Hand position use, children 1 to 8 yo (189 CC segments) | Not reported in the abstract | Not reported in the abstract | 26% | 74% | 2 T, 2F: not reported in the abstract |
CC rate and depth, all segments
- Median CC rate, all segments (IQR 110-125)
- 117 cpm
- Median depth, infants < 1 yo (IQR 2.44 - 4.04)
- 2.92 cm
- Median depth, children 1 to 8 yo (IQR 2.92 - 4.14)
- 3.56 cm
Original publication
The effect of hand position on chest compression quality during CPR in young children: Findings from the Videography in Pediatric Resuscitation (VIPER) collaborative. Resuscitation. Published 16 February 2023. doi:10.
Summarised from the published abstract; every number is checked against it