Effectiveness of Cardiopulmonary Resuscitation Training Using Affordable Manikin Produced with PET Bottle

Abstract

Aim: The greatest barrier to offering resuscitation training (CPR) in Brazil is the high cost of manikins. The aim of this study was to assess the non-inferiority between manikins, the step-by-step guide of CPR and quality of  chest compression training (CC) by students trained in two groups of different manikin models, one PET-bottle manikin (G) and the other one the Mini Anne® commercial manikin (L). 

Methods: 1324 students, > 12 years old, attending public schools in the state of São Paulo, Brazil, were randomized. QCPR®.

Results: Effectiveness of 25.38% was observed for the G group compared to 24.13% for the L group, showing that the G manikin is not inferior to the L manikin (p = 0.0043; 95% CI: -2.66% -5.15%). No difference was observed between G and L groups regarding the step-by-step of CPR, quality of CC measured by depth and number of compressions released. The performance of the G group was inferior to that of the L group in the assessment of correct hand placement (p = 0.014).

Conclusion: Results suggest that the plastic bottle model may be an efficient and low- cost alternative for CPR training.

Note:
Clinical Trial Registration Details: The Trial was registered on the Brazil platform submitted on 07/12/2021 and approved by the ethics committee of Instituto Dante Pazzanese de Cardiology of São Paulo, Brazil https://plataformabrasil.saude.gov.br/visao/pesquisador/gerirPesquisa/gerirPesquisaAgrupador.jsf, CAAE 6148981600005462

Funding Information: The research did not receive resources from the industry or institutions, and the costs were financed by the author himself.

Declaration of Interests: There are no conflicts of interest to declare

Ethics Approval Statement: The research project was approved by the Ethics Committee on Human Research of Dante Pazzanese Cardiology Institute by duly completing the informed consent form. The consent form of all children who participated in the research was signed by their parents or guardians according to a model approved by the ethics committee.

Keywords: BASIC LIFE SUPPORT, KIDS SAVE LIVES, cardiopulmonary resuscitation, PET-bottle manikin, CPR