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One-Minute Versus Two-Minute Compressor Rotation During Simulated Pediatric CPR (CPR-ROT)

29. mai 2026 oppdatert av: Ahmet Ziya Birbilen, Hacettepe University

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.

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

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.

Studietype

Intervensjonell

Registrering (Faktiske)

18

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

  • Tyrkia (Türkiye)
    • Ankara
      • Ankara, Ankara, Tyrkia (Türkiye), 06230
        • Hacettepe University

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen
  • Eldre voksen

Tar imot friske frivillige

Ja

Beskrivelse

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

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Annen
  • Tildeling: Randomisert
  • Intervensjonsmodell: Crossover-oppdrag
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: 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.
Annen: One-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.
Annen: Two-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.
Eksperimentell: 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.
Annen: One-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.
Annen: Two-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.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Chest Compression Rate During Simulated Pediatric CPR
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Participant-Reported Fatigue
Tidsramme: 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
Tidsramme: 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
Tidsramme: 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

Samarbeidspartnere og etterforskere

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Sponsor

Hacettepe University

Publikasjoner og nyttige lenker

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Generelle publikasjoner

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

1. juli 2024

Primær fullføring (Faktiske)

30. juli 2024

Studiet fullført (Faktiske)

1. september 2024

Datoer for studieregistrering

Først innsendt

21. mai 2026

Først innsendt som oppfylte QC-kriteriene

29. mai 2026

Først lagt ut (Faktiske)

3. juni 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

3. juni 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

29. mai 2026

Sist bekreftet

1. mai 2026

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • SBA24-1093 (Annen identifikator: Hacettepe University Health Sciences Research Ethics Committee)

Plan for individuelle deltakerdata (IPD)

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UBESLUTTE

IPD-planbeskrivelse

The datasets generated and/or analyzed during the current study may be available from the corresponding author upon reasonable request, subject to approval by the study investigators and applicable institutional and ethical requirements.

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