RT Journal Article
T1 Quality of ventilations during infant resuscitation: a simulation study comparing endotracheal tube with face mask
A1 Santos Folgar, Myriam
A1 Lafuente Filgueira, Paula
A1 Otero Agra, Martín
A1 Fernández Méndez, Felipe
A1 Barcala Furelos, Roberto Jesus
A1 Trastoy Quintela, Javier
A1 Aranda García, Silvia
A1 Fernández Méndez, María José
A1 Rodríguez Núñez, Antonio
K1 2411.17 Fisiología de la Respiración
K1 2411.03 Fisiología Cardiovascular
K1 3201.10 Pediatría
AB Background: There are few studies that analyze ventilation volume and pressure during CPR carried out on infants. The aim of this study was to evaluate the quality of the ventilations administered using a self-inflating bag with an endotracheal tube and a face mask in manikins. Methods: a quasi-experimental simulation study with a randomized case crossover design [endotracheal tube (ET) vs. face mask (FM)] was performed. Sixty participants who were previously trained nursing students participated in the study. The estimated air volumes breathed, and the pressure generated during each ventilation were assessed and the quality of the chest compressions was recorded. Results: the ET test presented a higher percentage of ventilations that reached the lungs (100% vs. 86%; p < 0.001), with adequate volume (60% vs. 28%; p < 0.001) in comparison to FM. Both tests presented peak pressures generated in the airway greater than 30 cm H2O (ET: 22% vs. FM: 31%; p = 0.03). Conclusions: performing quality CPR ventilations on an infant model is not an easy skill for trained nursing students. Both tests presented a significant incidence of excessive peak pressure during ventilations. Specific training, focused on quality of ventilations guided by a manometer attached to the self-inflating bag, must be considered in life support training for pediatric providers.
PB Children
SN 22279067
YR 2022
FD 2022-11-16
LK http://hdl.handle.net/11093/4070
UL http://hdl.handle.net/11093/4070
LA eng
NO Children, 9(11): 1757 (2022)
DS Investigo
RD 21-may-2025