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Comparing the Quality of Cardiopulmonary Resuscitation Performed at the Over-the-Head Position and Lateral Position of Neonatal Manikin.
Cheung, Po-Yin; Huang, Hongmei; Xu, Chenguang; Liu, Jiang-Qin; Ting, Joseph Y; Wong, Rosanna; Lee, Winnie; Xue, Yin; Yi, Yanzhi.
Afiliación
  • Cheung PY; Centre for the Studies of Asphyxia and Resuscitation and Departments of Pediatrics, Pharmacology and Surgery, University of Alberta, Edmonton, AB, Canada.
  • Huang H; Hong Kong University-Shenzhen Hospital, Shenzhen, China.
  • Xu C; Children's Medical Center, Chongqing YouYouBaoBei Women's and Children's Hospital, Chongqing, China.
  • Liu JQ; Hong Kong University-Shenzhen Hospital, Shenzhen, China.
  • Ting JY; Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, China.
  • Wong R; British Columbia Women's Hospital, University of British Columbia, Vancouver, BC, Canada.
  • Lee W; Hong Kong Children's Hospital, Hong Kong, Hong Kong.
  • Xue Y; Hong Kong University-Shenzhen Hospital, Shenzhen, China.
  • Yi Y; Hong Kong University-Shenzhen Hospital, Shenzhen, China.
Front Pediatr ; 7: 559, 2019.
Article en En | MEDLINE | ID: mdl-32039116
Background: Recent neonatal resuscitation guidelines suggest to perform chest compression (CC) at over-the-head (OTH) position instead of lateral position when further interventions including umbilical venous access are needed. Little information is available regarding the quality of cardiopulmonary resuscitation at different positions. Our study compared the quality of CC and ventilation at OTH position vs. lateral position in simulated neonatal resuscitation. Methods: Thirty-nine neonatal practitioners who attended the NRP®-based Provider renewal course workshop participated this study. Laerdal QCPR infant model were used to collect the data (2-miutes continuous recording) on quality of CC and ventilation of all participants at OTH position and lateral position in randomized order, both coordinated with mask ventilation or endotracheal ventilation through a Neopuff© T-piece system. The quality of CC and ventilation were compared. Participants also reported their demographics and opinions in anonymous questionnaires after the session. Results: The quality of CC and ventilation was not different when CPR was performed at OTH position and lateral position, in both mask and endotracheal ventilation. When CPR was performed with endotracheal ventilation, there were small faster frequencies of CC and ventilation at OTH position, compared with those at lateral position (p = 0.004). Most participants (87%) liked the CC performed at OTH position and had no adverse feedback. Conclusions: Performing CC at OTH position was generally well-received in simulated resuscitation; the quality of CC and ventilation at OTH position was not significantly different from that at lateral position, irrespective of mask or endotracheal ventilation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Qualitative_research Idioma: En Revista: Front Pediatr Año: 2019 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Clinical_trials / Qualitative_research Idioma: En Revista: Front Pediatr Año: 2019 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Suiza