One-Minute Versus Two-Minute Compressor Rotation During Simulated Pediatric CPR (CPR-ROT)
One-Minute Versus Two-Minute Compressor Rotation During Simulated Pediatric CPR: A Randomized Crossover Pilot Study
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.
Přehled studie
Postavení
Podmínky
Intervence / Léčba
Detailní popis
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.
Typ studie
Zápis (Aktuální)
Fáze
- Nelze použít
Kontakty a umístění
Studijní místa
-
-
Ankara
-
Ankara, Ankara, Turecko (Türkiye), 06230
- Hacettepe University
-
-
Kritéria účasti
Kritéria způsobilosti
Věk způsobilý ke studiu
- Dospělý
- Starší dospělý
Přijímá zdravé dobrovolníky
Popis
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
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Jiný
- Přidělení: Randomizované
- Intervenční model: Crossover Assignment
- Maskování: Žádné (otevřený štítek)
Zbraně a zásahy
Skupina účastníků / Arm |
Intervence / Léčba |
|---|---|
|
Experimentální: One-Minute Then Two-Minute Rotation Sequence
Participants in this arm first performed simulated pediatric CPR with compressor rotation every one minute.
After a rest period, they performed a second simulated pediatric CPR session with compressor rotation every two minutes.
|
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.
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.
|
|
Experimentální: Two-Minute Then One-Minute Rotation Sequence
Participants in this arm first performed simulated pediatric CPR with compressor rotation every two minutes.
After a rest period, they performed a second simulated pediatric CPR session with compressor rotation every one minute.
|
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.
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.
|
Co je měření studie?
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Chest Compression Rate During Simulated Pediatric CPR
Časové okno: 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.
|
From 0 to 20 minutes after the start of each simulated CPR session
|
|
Chest Recoil Velocity During Simulated Pediatric CPR
Časové okno: 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.
|
From 0 to 20 minutes after the start of each simulated CPR session
|
|
Proportion of Adequate Chest Compressions
Časové okno: 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
|
From 0 to 20 minutes after the start of each simulated CPR session
|
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Participant-Reported Fatigue
Časové okno: 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.
|
At 4, 8, 12, 16, and 20 minutes after the start of each simulated CPR session
|
|
Blood Pressure Response Before and After Simulated Pediatric CPR
Časové okno: 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.
|
At baseline and immediately after completion of each simulated CPR session
|
|
Heart Rate Response During Simulated Pediatric CPR
Časové okno: 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.
|
At baseline and at 4, 8, 12, 16, and 20 minutes after the start of each simulated CPR session
|
Spolupracovníci a vyšetřovatelé
Sponzor
Publikace a užitečné odkazy
Obecné publikace
- Topjian AA, Raymond TT, Atkins D, Chan M, Duff JP, Joyner BL Jr, Lasa JJ, Lavonas EJ, Levy A, Mahgoub M, Meckler GD, Roberts KE, Sutton RM, Schexnayder SM; Pediatric Basic and Advanced Life Support Collaborators. Part 4: Pediatric Basic and Advanced Life Support: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2020 Oct 20;142(16_suppl_2):S469-S523. doi: 10.1161/CIR.0000000000000901. Epub 2020 Oct 21. No abstract available.
- Sawee C, Churuangsuk C, Vattanavanit V. Effect of Compression Rotation Intervals on Cardiopulmonary Resuscitation Quality: A Systematic Review and Meta-Analysis. Arch Acad Emerg Med. 2025 Jun 25;13(1):e58. doi: 10.22037/aaemj.v13i1.2704. eCollection 2025.
- Kim DH, Seo YW, Jang TC. CPR quality with rotation of every 1 versus 2 minutes as characteristics of rescuers: A randomized crossover simulation study. Medicine (Baltimore). 2023 Mar 10;102(10):e33066. doi: 10.1097/MD.0000000000033066.
- Pechaksorn N, Vattanavanit V. CPR Compression Rotation Every One Minute Versus Two Minutes: A Randomized Cross-Over Manikin Study. Emerg Med Int. 2020 Sep 1;2020:5479209. doi: 10.1155/2020/5479209. eCollection 2020.
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Aktuální)
Primární dokončení (Aktuální)
Dokončení studie (Aktuální)
Termíny zápisu do studia
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Aktuální)
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Více informací
Termíny související s touto studií
Klíčová slova
Další relevantní podmínky MeSH
Další identifikační čísla studie
- SBA24-1093 (Jiný identifikátor: Hacettepe University Health Sciences Research Ethics Committee)
Plán pro data jednotlivých účastníků (IPD)
Plánujete sdílet data jednotlivých účastníků (IPD)?
Popis plánu IPD
Informace o lécích a zařízeních, studijní dokumenty
Studuje lékový produkt regulovaný americkým FDA
Studuje produkt zařízení regulovaný americkým úřadem FDA
Tyto informace byly beze změn načteny přímo z webu clinicaltrials.gov. Máte-li jakékoli požadavky na změnu, odstranění nebo aktualizaci podrobností studie, kontaktujte prosím register@clinicaltrials.gov. Jakmile bude změna implementována na clinicaltrials.gov, bude automaticky aktualizována i na našem webu .