| CTRI Number |
CTRI/2026/02/104529 [Registered on: 23/02/2026] Trial Registered Prospectively |
| Last Modified On: |
23/02/2026 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Other (Specify) [Simulation] |
| Study Design |
Randomized, Crossover Trial |
|
Public Title of Study
|
Comparison of various rescuer positions on chest compressions quality during cardiopulmonary resuscitation |
|
Scientific Title of Study
|
Effect of Rescuer Position Standing vs. Step
Stool vs. Kneeling on Chest Compression Quality in Adult and Paediatric ICU Settings |
| Trial Acronym |
Chest compression quality |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Shubham Dutta |
| Designation |
Fellow PICU |
| Affiliation |
|
| Address |
Department of Pediatric Intensive Care, Second floor, Amrita Hospital Faridabad,
Mata Amritanandamayi Marg, Sector 88, Faridabad
Faridabad
HARYANA
121014
India |
| Phone |
|
| Fax |
|
| Email |
duttashubham29@gmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
Dr Veena Raghunathan |
| Designation |
Senior Consultant, Assistant Professor , PICU |
| Affiliation |
Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham |
| Address |
Department of Pediatric Intensive Care, Second floor, Amrita Hospital Faridabad, Sector 88
Faridabad
HARYANA
121014
India |
| Phone |
01293521234 |
| Fax |
|
| Email |
drvraghunathan@gmail.com |
|
Details of Contact Person
Public Query
|
| Name |
Dr Veena Raghunathan |
| Designation |
Senior Consultant, Assistant Professor , PICU |
| Affiliation |
Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham |
| Address |
Department of Pediatric Intensive Care, Second floor, Amrita Hospital Faridabad,
Mata Amritanandamayi Marg, Sector 88, Faridabad
Faridabad
HARYANA
121014
India |
| Phone |
01293521234 |
| Fax |
|
| Email |
drvraghunathan@gmail.com |
|
|
Source of Monetary or Material Support
|
|
|
Primary Sponsor
|
| Name |
Amrita Institute of Medical Sciences |
| Address |
Amrita Hospital Faridabad,
Mata Amritanandamayi Marg, Sector 88, Faridabad, Haryana 121014 |
| Type of Sponsor |
Private medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Veena |
Amrita Hospital |
Department of Pediatric Intensive Care,Second floor, Amrita Hospital Building, Amrita Institute of Medical Sciences, Faridabad 121014
Faridabad
HARYANA |
9871221112
drvraghunathan@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| INSTITUTIONAL ETHICS COMMITTEE, AMRITA HOSPITAL FARIDABAD |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Healthy Human Volunteers |
No health problem. To check chest compressions quality |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Chest compressions |
Chest compressions quality in kneeling position for 2 minutes |
| Intervention |
Chest compressions |
Chest compressions quality in standing position for 2 minutes |
| Comparator Agent |
Chest compressions |
Chest compressions while standing on step stool for 2 minutes |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
99.00 Year(s) |
| Gender |
Both |
| Details |
1. Healthcare personnel (Doctors, Nurses, Technicians).
2. Valid BCLS certification.
3. Willingness to participate.
|
|
| ExclusionCriteria |
| Details |
1. Acute or chronic back pain.
2. Knee injuries or musculoskeletal limitations.
3. Pregnancy.
4. Refusal to consent.
|
|
|
Method of Generating Random Sequence
|
Permuted block randomization, fixed |
|
Method of Concealment
|
Other |
|
Blinding/Masking
|
Outcome Assessor Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| To compare chest compression depth among three rescuer positions: (1) Standing on Floor, (2) Standing on Step Stool, and (3) Kneeling on Bed. |
1. Real time record: During each 2-minute cycle, a feedback device (accelerometer/mannequin software) will record real-time compression data.
2. Subjective data (VAS 0-10) for fatigue, comfort, and stability will be recorded immediately after each block. ( at end of 2 minute chest compressions) |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
1. To compare chest recoil, compression rate, & duty cycle during chest compression across the three positions
|
1. Real time recording: During each 2-minute cycle, a feedback device (accelerometer/mannequin software) will record real-time compression data for entire 2 minute duration during all 3 cycles |
| 2. To assess subjective comfort, stability, & fatigue using a Visual Analog Scale (VAS) in all three rescuer positions |
Will be assessed at end of each 2 minute compression cycle. |
|
|
Target Sample Size
|
Total Sample Size="60"
Sample Size from India="60"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
20/03/2026 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="0"
Months="2"
Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Yet Recruiting |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
This study will evaluate how rescuer position affects chest compression quality during simulated CPR in ICU settings. It is a prospective randomized three arm crossover simulation study conducted in PICU and simulation lab. Healthcare staff with valid BCLS training will participate after informed consent. Each participant will perform two minute CPR cycles in three positions standing on floor standing on step stool and kneeling on bed. A ten minute rest period between cycles will reduce fatigue and carryover effect. Objective CPR metrics including compression depth rate recoil and duty cycle will be recorded using mannequin feedback. Subjective outcomes such as comfort stability and fatigue will be measured using visual analog scales. The primary outcome is comparison of compression depth across the three rescuer positions. Secondary outcomes include compression rate recoil and ergonomic perception scores. The study aims to identify the most effective and ergonomic position for improving CPR quality in Indian ICU practice. |