Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| SBA24-1093 | Other Identifier | Hacettepe University Health Sciences Research Ethics Committee |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
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.
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.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| One-Minute Then Two-Minute Rotation Sequence | Experimental | 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. |
|
| Two-Minute Then One-Minute Rotation Sequence | Experimental | 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. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| One-Minute Compressor Rotation | Other | 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. |
| Measure | Description | Time Frame |
|---|---|---|
| Chest Compression Rate During Simulated Pediatric CPR | 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 | 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 | 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Participant-Reported Fatigue | 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 |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hacettepe University | Ankara | Ankara | 06230 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40727595 | Background | 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. | |
| 36897706 | Background | 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. |
Not provided
Not provided
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.
Not provided
Not provided
Not provided
Not provided
Not provided
Participants completed two simulated pediatric CPR sessions using both compressor rotation strategies. In one session, compressors rotated every one minute, and in the other session, compressors rotated every two minutes. The order of the two strategies was randomized.
Not provided
Not provided
Not provided
Not provided
| Two-Minute Compressor Rotation | Other | 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. |
|
| Blood Pressure Response Before and After Simulated Pediatric CPR | 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 | 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 |
| 32953180 | Background | 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. |
| 33081526 | Background | 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. |
| ID | Term |
|---|---|
| D005221 | Fatigue |
| ID | Term |
|---|---|
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided