Comparison of cardiopulmonary resuscitation quality performed by a single rescue with a bag-valve mask device: Over-the-head or lateral position?

Abstract

Introduction: The highest quality and effectiveness of Cardiopulmonary Resuscitation (CPR) will be difficult to achieve if ventilatory assistance is provided using a Bag-Valve Mask (BVM) device and combined with compression by a single rescue. This study aims to compare the different qualities of CPR between the over-the-head (OTH) position and the lateral position performed by a single rescue with a BVM device. Method: This study was a comparative study, comparing the quality of CPR produced by lateral position and OTH position on mannequins. This study involved 100 respondents divided into two groups, namely 50 respondents had lateral position and 50 had OTH position. CPR quality assessment was guided by five CPR quality indicators referring to the American Heart Association (AHA). The statistical test used was Mann-Whitney. Results: Statistical tests show CPR using the OTH position had higher quality than the lateral position (p = 0.004). Based on five CPR quality indicators, two indicators had a significant difference between the OTH and lateral positions, namely speed (p = 0.026), and interruption (p = 0.008). Meanwhile, the other three indicators did not have significant differences, namely depth (p = 0.427), hand placement (p = 1.000), and complete chest recoil (p = 1.185). Conclusion: The OTH position was more effective and had better quality when CPR used a single rescue with a BVM device compared to the lateral position.

Keywords

• Cardiopulmonary resuscitation
• Quality
• Over-the-Head
• Lateral