title: A comparison between the two methods of chest compression in infant and neonatal resuscitation. A review according to 2010 CPR guidelines.
abstract: OBJECTIVE
  The quality of chest compression (CC) delivered during neonatal and infant cardiopulmonary resuscitation (CPR) is identified as the most important factor to achieve the increase of survival rate without major neurological deficit to the patients. The objective of the study was to systematically review all the available studies that have compared the two different techniques of hand placement on infants and neonatal resuscitation, from 2010 to 2015 and to highlight which method is more effective.
  
  
  METHODS
  A review of the literature using a variety of medical databases, including Cochrane, MEDLINE, and SCOPUS electronic databases. The following MeSH terms were used in the search: infant, neonatal, CPR, CC, two-thumb (TT) technique/method, two-finger (TF) technique/method, rescuer fatigue, thumb/finger position/placement, as well as combinations of these.
  
  
  RESULTS
  Ten studies met the inclusion criteria; nine observational studies and a randomized controlled trial. All providers performed either continuous TF or TT technique CCs and the majority of CPR performance was taken place in infant trainer manikin.
  
  
  CONCLUSIONS
  The majority of the studies suggest the TT method as the more useful for infants and neonatal resuscitation than the TF.
authors.affiliation: a Infection Control Committee , Pediatric Hospital of Athens, "P & A Kyriakou" , Athens , Greece.
authors.forename: Alexandros
authors.initials: A
authors.lastname: Douvanas
authors.affiliation: b Research and Innovation Department , Western Sussex Hospitals NHS Foundation Trust , London , UK.
authors.forename: Christina
authors.initials: C
authors.lastname: Koulouglioti
authors.affiliation: c Faculty of Nursing , National and Kapodistrian University of Athens , Athens , Greece.
authors.forename: Maria
authors.initials: M
authors.lastname: Kalafati
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000193:education / Q000379:methods* / Q000592:standards; D005385:Fingers; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008348:Manikins; D064887:Observational Studies as Topic; D011312:Pressure; D011446:Prospective Studies; D016032:Randomized Controlled Trials as Topic; D013933:Thumb
keywords: Infant; chest compression; neonatal resuscitation; two-fingers; two-thumbs