Evidence map›Paper›PMID 34223377›Full record

ArticleResuscitation plus2021

Chest compression by two-thumb encircling method generates higher carotid artery blood flow in swine infant model of cardiac arrest.

Sharda Udassi, Ikram U Haque, Dalia Lopez-Colon, Andre Shih, Dhanya Vasudeva, Giridhar Kaliki-Venkata, Michael Weiss, Arno L Zaritsky, Jai P Udassi

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Resuscitation plus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Sharda UdassiDivision of General Pediatrics, Department of Pediatrics, Sidra Medicine, Doha Qatar.
Ikram U HaqueDivision of Pediatric Critical Care, Department of Pediatrics, Sidra Medicine, Doha Qatar.
Dalia Lopez-ColonDepartment of Anesthesiology, College of Veterinarian School, University of Florida, Gainesville, FL, USA.
Andre ShihDepartment of Anesthesiology, College of Veterinarian School, University of Florida, Gainesville, FL, USA.
Dhanya VasudevaDivision of Cardiology, Department of Pediatrics, Sidra Medicine, Doha Qatar.
Giridhar Kaliki-VenkataDivision of Cardiology, Department of Pediatrics, University of Florida, Gainesville, FL, USA.
Michael WeissDivision of Neonatology, Department of Pediatrics, University of Florida, Gainesville, FL, USA.
Arno L ZaritskyDepartment of Pediatrics, Children's Hospital of The King's Daughters, Eastern Virginia Medical School, Norfolk, VA, USA.
Jai P UdassiDivision of Cardiology, Department of Pediatrics, Sidra Medicine, Doha Qatar.
University of Florida · USQatar Airways (Qatar) · QAEastern Virginia Medical School · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTwo-Thumb(TT) technique provides superior quality chest compressions compared with Two-Finger(TF) in an instrumented infant manikin. Whether this translates to differences in blood flow, such as carotid arterial blood flow(CABF), has not been evaluated. We hypothesized that TT-CPR generates higher CABF and Coronary Perfusion Pressure(CPP) compared with TF-CPR in a neonatal swine cardiac arrest model.

methodsTwelve anesthetized & ventilated piglets were randomized after 3 min of untreated VF to receive either TT-CPR or TF-CPR by PALS certified rescuers delivering a compression rate of 100/min. The primary outcome, CABF, was measured using an ultrasound transonic flow probe placed on the left carotid artery. CPP was calculated and end-tidal CO

resultsCarotid artery blood flow (% of baseline) was higher in TT-CPR (66.2 ± 35.4%) than in the TF-CPR (27.5 ± 10.6%) group, p = 0.013. Mean CPP (mm Hg) during three minutes of chest compression for TT-CPR was 12.5 ± 15.8 vs. 6.5 ± 6.7 in TF-CPR, p = 0.41 and ETCO

conclusionTT-CPR achieved more than twice the CABF compared with TF-CPR in a piglet cardiac arrest model. Although CPP and ETCO

Indexed as

Cardiopulmonary resuscitationCarotid artery blood flowSwine cardiac arrestTwo-finger CPRTwo-thumb CPR

Identifiers

PMID34223377
PMCPMC8244466
OpenAlexW3156792706

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.