A comparison of two-fingers technique and two-thumbs encircling hands technique of chest compression in neonates

Objective:to compare the proportion of correct placements (pocp) between ‘two-fingers’ and ‘two-thumbs’ techniques of chest compression among neonates of various gestations.study design:two-fingers and two-thumbs spans of 32 adult rescuers were individually compared with the inter-nipple line to sterno-xiphoid junction distance of 39 neonates. ‘correct placement’ was defined if two-fingers/two-thumbs span was equal to or less than the inter-nipple line to sterno-xiphoid junction distance. the pocps was compared between two-fingers and two-thumbs methods of chest compression by the mcnemar test among neonates and their various subgroups.result:there were a total of 1248 comparisons. the pocps with two-fingers and two-thumbs techniques were 6.7 and 77% in all neonates, 10.6 and 89.5% in full term and 1.2 and 59% in preterm neonates, respectively (p<0.001).conclusion:two-thumbs technique achieved higher pocps and should be preferred over two-fingers technique among neonates.