Quality of Ventilations during Infant Resuscitation: A Simulation Study Comparing Endotracheal Tube with Face Mask
Myriam Santos-Folgar,
Paula Lafuente-Filgueira,
Martín Otero-Agra,
Felipe Fernández-Méndez,
Roberto Barcala-Furelos,
Javier Trastoy-Quintela,
Silvia Aranda-García,
María Fernández-Méndez,
Antonio Rodríguez-Núñez
Affiliations
Myriam Santos-Folgar
REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, 36005 Pontevedra, Spain
Paula Lafuente-Filgueira
Complexo Hospitalario of Pontevedra, Sergas, 36002 Pontevedra, Spain
Martín Otero-Agra
REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, 36005 Pontevedra, Spain
Felipe Fernández-Méndez
REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, 36005 Pontevedra, Spain
Roberto Barcala-Furelos
REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, 36005 Pontevedra, Spain
Javier Trastoy-Quintela
Paediatric Critical, Intermediate and Palliative Care Section, Hospital Clínico Universitario de Santiago de Compostela, 15706 A Coruña, Spain
Silvia Aranda-García
GRAFIS Research Group, Institut Nacional d’Educació Física de Catalunya (INEFC), Universitat de Barcelona, 08007 Barcelona, Spain
María Fernández-Méndez
REMOSS Research Group, Faculty of Education and Sport Sciences, University of Vigo, 36005 Pontevedra, Spain
Antonio Rodríguez-Núñez
Life Support and Simulation, Institute of Research of Santiago, CLINURSID Research Group, University of Santiago de Compostela, Santiago de Compostela, 15706 A Coruña, Spain
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 p 2O (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.
