1993
DOI: 10.1016/s0196-0644(05)80212-4
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Two-thumb versus two-finger chest compression during CPR in a swine infant model of cardiac arrest

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Cited by 123 publications
(43 citation statements)
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“…For the critical outcome of improved perfusion and gas exchange during CPR, we identified low-quality evidence from 9 randomized controlled trials (downgraded for indirectness and imprecision) [182][183][184][185][186][187][188][189][190] and 6 nonrandomized controlled trials (downgraded for indirectness, imprecision, and high risk of bias) [191][192][193][194][195][196] identifying higher blood pressure generation with the 2-thumb versus the 2-finger method.…”
Section: Consensus On Sciencementioning
confidence: 99%
“…For the critical outcome of improved perfusion and gas exchange during CPR, we identified low-quality evidence from 9 randomized controlled trials (downgraded for indirectness and imprecision) [182][183][184][185][186][187][188][189][190] and 6 nonrandomized controlled trials (downgraded for indirectness, imprecision, and high risk of bias) [191][192][193][194][195][196] identifying higher blood pressure generation with the 2-thumb versus the 2-finger method.…”
Section: Consensus On Sciencementioning
confidence: 99%
“…157 Two techniques have been described: compression with 2 thumbs with the fingers encircling the chest and supporting the back (the 2-thumb technique) or compression with 2 fingers with a second hand supporting the back (the 2-finger technique). Because the 2-thumb technique generates higher blood pressure and coronary perfusion pressure with less rescuer fatigue, the 2 thumb-encircling hands technique is suggested as the preferred method [158][159][160][161][162][163][164][165][166][167][168][169][170][171][172] (Class IIb, LOE C-LD). Because the 2-thumb technique can be continued from the head of the bed while the umbilicus is accessed for insertion of an umbilical catheter, the 2-finger technique is no longer needed.…”
mentioning
confidence: 99%
“…[2][3][4]15,16 Two-thumbs encircling hands technique has been found to generate higher systolic and mean blood pressures as compared with two-fingers technique, 2,3,15 although this finding is not universal. 16 Other advantages of two-thumbs encircling hand technique over twofingers technique include better control of depth of compressions, being less tiring when performed for longer duration and suitable for individuals with long finger nails.…”
Section: Discussionmentioning
confidence: 99%
“…1 Two-thumbs encircling hands technique may generate higher peak systolic and coronary perfusion pressures than two-fingers technique. [2][3][4][5][6][7] Two-fingers technique may be preferred when access to the umbilicus is required during insertion of an umbilical catheter. 1 The recommended site of chest compressions is lower third of sternum.…”
Section: Introductionmentioning
confidence: 99%