Fakhraddin Bakhtiyar Zeynalov, Shimizu Naoki, Kurosawa Sasa, Sakai Hirokazu, Miyasaka Katsuyuki, Mizutani Shuki
Tokyo Medical & Dental University, Tokyo, Japan.
J Med Dent Sci. 2011 Mar 28;58(1):15-22.
We introduce a new method of external chest compression (ECC), an essential part of cardiopulmonary resuscitation, using a thumb and index finger method (TIFM) on infants, and compares, this with two standard methods of the two finger method (TFM) and the two-thumb encircling hands method (TTEM). Sixty trained PALS (Pediatric Advanced Life Support) providers were randomly assigned into three groups and provided one-rescuer ECC for a period of five continuous minutes. Results without coaching or feedback were recorded on a recording CPR simulator (Laerdal, Inc). ECC was performed according to the BLS recommendations of the International Liaison Committee on Resuscitation (ILCOR). The quality of ECC in the TFM group deviated considerably from guideline recommendations. The same parameters in the TTEM and new TIFM groups during this study were in accordance with the parameters recommended by the guidelines. Thus, our new TIFM technique of chest compression, in infants was shown to be better than the currently TFM, especially for achieving adequate compression depth and avoiding fatigue, and is equally as effective as the TTEM. We propose this new method (TIFM) should be considered as the method of choice in single rescuer situations.
我们介绍了一种新的胸外按压（ECC）方法，这是心肺复苏的重要组成部分，在婴儿中使用拇指和示指法（TIFM），并将其与两种标准方法即双指法（TFM）和双手环抱拇指法（TTEM）进行比较。60名经过培训的儿科高级生命支持（PALS）提供者被随机分为三组，并进行单人ECC持续5分钟。在记录心肺复苏模拟器（Laerdal公司）上记录无指导或反馈的结果。ECC按照国际复苏联合委员会（ILCOR）的基础生命支持（BLS）建议进行。TFM组的ECC质量与指南建议有很大偏差。在本研究中，TTEM组和新的TIFM组的相同参数符合指南推荐的参数。因此，我们新的婴儿胸外按压TIFM技术显示优于目前的TFM，特别是在达到足够的按压深度和避免疲劳方面，并且与TTEM同样有效。我们建议这种新方法（TIFM）应被视为单人救援情况下的首选方法。
