title: A comparison of two-fingers technique and two-thumbs encircling hands technique of chest compression in neonates.
abstract: OBJECTIVE
  To compare the proportion of correct placements (POCP) between 'two-fingers' and 'two-thumbs' techniques of chest compression among neonates of various gestations.
  
  
  METHODS
  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.
  
  
  RESULTS
  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).
  
  
  CONCLUSIONS
  Two-thumbs technique achieved higher POCPs and should be preferred over two-fingers technique among neonates.
authors.affiliation: Neonatal Unit, Department of Pediatrics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: S S
authors.initials: SS
authors.lastname: Saini
authors.forename: N
authors.initials: N
authors.lastname: Gupta
authors.forename: P
authors.initials: P
authors.lastname: Kumar
authors.forename: A K
authors.initials: AK
authors.lastname: Bhalla
authors.forename: H
authors.initials: H
authors.lastname: Kaur
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D006336:Heart Massage / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature