Akademik Veri Yönetim Sistemi
Disaster and Emergency Medicine Journal, 2025 (Scopus)
BACKGROUND: Effective chest compression techniques are critical in neonatal resuscitation, where hypoxia and asphyxia are the leading causes of cardiac arrest. While current guidelines recommend the lateral (LAT) and two-thumb encircling techniques (TTT), practical challenges in real-world settings necessitate alternative approaches. The over-the-head (OTH) technique has emerged as a potential solution, offering advantages such as reduced rescuer fatigue and improved workflow efficiency, particularly in constrained environments. MATERIAL AND METHODS: A systematic PubMed, Embase, Web of Science, EBSCO, and the Cochrane Library literature search was conducted to extract articles comparing LAT and OTH chest compression techniques under simulated infant cardiac arrest. The meta-analysis was conducted using random effects models when appropriate. RESULTS: The mean chest compression depth was comparable between the groups (39.4 ± 8.7 mm vs 41.8 ± ± 9.6 mm; SMD: 0.26; 95% CI: –0.32 to 0.84; p = 0.37), as was the compression rate (107.05 ± 16.49 vs 106.14 ± 16.78 compressions per minute; SMD: 0.07; 95% CI: –0.14 to 0.28; p = 0.53). Airway management efficacy did not differ significantly, with correct airway release rates of 86.8% ± 21.2% for OHT and 87.9% ± 19.1% for LAT (SMD: 0.50; 95% CI: –1.06 to 2.05; p = 0.53). The time required for proper hand positioning showed no significant variation (7.4 ± 1.2 s vs 7.6 ± 1.5 s; SMD: –0.16; 95% CI: –0.45 to 0.13; p = 0.28). CONCLUSIONS: The present findings demonstrate that the OTH technique is a viable alternative to the LAT method in infant and neonatal resuscitation. Both techniques exhibited comparable effectiveness across key performance metrics; however, the OTH method was associated with reduced rescuer fatigue. These results underscore the potential advantages of the OTH technique in clinical practice, suggesting its broader implementation may enhance resuscitation outcomes and provider efficiency.