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Open Access Special Issue

Assessing Ventilation Skills by Nursing Students in Paediatric and Adult Basic Life Support: A Crossover Randomized Simulation Study Using Bag-Valve-Mask (BMV) vs Mouth-to-Mouth Ventilation (MMV)

  • Martín Otero-Agra1
  • María Teresa Hermo-Gonzalo1,2
  • Myriam Santos-Folgar1,2
  • Felipe Fernández-Méndez1,2,3
  • Roberto Barcala-Furelos1,3

1REMOSS Research Group. Faculty of Education and Sport Sciences. University of Vigo, Pontevedra, Spain

2University School of Nursing, University of Vigo, Pontevedra, Spain

3CLINURSID Network Research, Department of Psychiatry, Radiology and Public Health, University of Santiago de Compostela, Santiago de Compostela, Spain

DOI: 10.22514/sv.2020.16.0072 Vol.16,Issue 2,October 2020 pp.44-51

Published: 28 October 2020

*Corresponding Author(s): Martín Otero-Agra E-mail: martinoteroagra@gmail.com

Abstract

To evaluate nursing students’ CPR skills using mouth-to-mouth (MMV) and bag-valve-mask (BMV) ventilation techniques on manikin simulators for infant and adult victims after practical and theoretical training. A quasi-experimental randomised cross-over design study with 44 nursing students was carried out. The participants attended a 5-hour theoretical and practical CPR training session using MMV and BMV on adult and infant manikins. A month later, four 4-minute CPR tests were performed in pairs. Two tests were performed on the infant manikin and two on the adult, using the two ventilation techniques (MMV and BMV). No significant differences between the tests were observed in the quality of chest compression (p > 0.008). Significantly higher values of effective ventilations were observed with MMV as compared with BMV in both age groups: Adult (MMV: 98 ± 7% / BMV: 84 ± 17% / p = 0.003) and Infant (MMV: 97 ± 11% / BMV: 76 ± 26% / p = 0.001). CPR quality was significantly higher when using MMV on the infant (68 ± 16%; p < 0.001) than in the other tests. The nursing students did not manage to master BMV with either victim. New complementary strategies to help them grasp the necessary BMV skills will be required.

Keywords

CPR training, Nursing students, BMV, MMV, Adult CPR, Paediatric CPR

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Martín Otero-Agra,María Teresa Hermo-Gonzalo,Myriam Santos-Folgar,Felipe Fernández-Méndez,Roberto Barcala-Furelos. Assessing Ventilation Skills by Nursing Students in Paediatric and Adult Basic Life Support: A Crossover Randomized Simulation Study Using Bag-Valve-Mask (BMV) vs Mouth-to-Mouth Ventilation (MMV). Signa Vitae. 2020. 16(2);44-51.

References

[1] Perkins GD, Handley AJ, Koster RW, et al. European Resuscitation Council Guidelines for Resuscitation 2015 Section 2. Adult basic life support and automated external defibrillation. Resuscitation. 2015;95:81-99.

[2] Engdahl J, Bång A, Karlson BW, et al. Characteristics and outcome among patients suffering form out of hospital cardiac arrest of non-cardiac aetiology. Resuscitation. 2003;57:33-41.

[3] Hess EP, Campbell RL, White RD. Epidemiology, trends, and outcome of out-of-hospital cardiac arrest of non-cardiac origin. Resuscitation. 2007;72:206-207.

[4] Donoghue AJ, Nadkarni V, Berg RA, et al. Out-of-hospital pediatric cardiac arrest: An epidemiologic review and assessment of current knowledge. Ann Emerg Med. 2005;46:512-522.

[5] Atkins DL, Everson-Stewart S, Sears GK, et al. Epidemiology and outcomes from out-of-hospital cardiac arrest in children: the resuscitation outcome consortium epistry-cardiac arrest. Circulation. 2009;119:1484-1491.

[6] Meaney PA, Nadkarni VM, Cook EF, et al. Higher survival rates among younger patients after paediatric intensive care unit cardiac arrests. Pediatrics. 2006;118:2424-2433.

[7] Kitamura T, Iwami T, Kawamura T, et al. Bystander-initiated rescue breathing for out-of-hospital cardiac arrests of noncardiac origin. Circulation. 2010;122:293-299.

[8] Iwami T, Kawamura T, Hiraide A, et al. Effectiveness of bystander-initiated cardiac-only resuscitation for patients with out-of-hospital cardiac arrest. Circulation. 2007;116:2900-2907.

[9] Berg RA, Hilwig RW, Kern KB, et al. Simulated mouth-to-mouth venti-lation and chest compressions (bystander cardiopulmonary resuscitation) improves outcome in a swine model of prehospital pediatric asphyxia cardiac arrest. Crit Care Med. 1999;27:1893-1899.

[10] Berg RA, Hilwig RW, Kern KB, et al. “Bystander” chest compressions and assisted ventilation independently improve outcome from piglet asphyxia pulseless “cardiac arrest.” Circulation .2000;101:1743-1748.

[11] Newell C, Grier S, Soar J. Airway and ventilation management during cardiopulmonary resuscitation and after successful resuscitation. Crit Care. 2018;22:190.

[12] Perkins GD, Olasveengen TM, Maconochie I, et al. European Resusci-tation Council Guidelines for resuscitation: 2017 update. Resuscitation. 2017;123:43-50.

[13] Nyman J, Sihvonen M. Cardiopulmonary resuscitation skills in nurses and nursing students. Resuscitation. 2000;47:179-184.

[14] Abella BS, Alvarado JP, Myklebust H, et al. Quality of cardiopulmonary resuscitation during in-hospital cardiac arrest. JAMA. 2005;293:305-310.

[15] Smith KK, Gilcreast D, Pierce K. Evaluation of staff’s retention of ACLS and BLS skills. Resuscitation. 2008;78:59-65.

[16] Dine CJ, Gersh RE, Leary M, et al. Improving cardiopulmonary resuscitation quality and resuscitation training by combining audiovisual feedback and debriefing. Crit Care Med. 2008;36:2817-2822.

[17] Kardong-Edgren SE, Oermann MH, Odom-Maryon T, et al. Comparison of two instructional modalities for nursing student CPR skill acquisition. Resuscitation. 2010;81:1019-1024.

[18] Isbye DL, Høiby P, Rasmussen MB, et al. Voice advisory manikin versus instructor facilitated training in cardiopulmonary resuscitation. Resuscitation. 2008;79:73-81.

[19] Pan J, Zhu JY, Kee HS, et al. A review of compression, ventilation, defibrillation, drug treatment, and targeted temperature management in cardiopulmonary resuscitation. Chinese Medical Journal. 2015;128:550-554.

[20] Soar J, Nolan JP. Airway management in cardiopulmonary resuscitation. Curr Opin Crit Care. 2013;19:181-187.

[21] Maconochie IK, Bingham R, Eich C, et al. European Resuscitation Council Guidelines for Resuscitation 2015 Section 6. Paediatric life support. Resuscitation. 2015;95:223-248.

[22] Rodríguez-Núñez A. Ventilation during pediatric CPR. Current Pediatric Reviews. 2013;9:109-114.

[23] Barcala-Furelos R, Abelairas-Gómez C, Aranda-García S, et al. Is it feasible “scoop and run while playing” resuscitation on a Rescue Water Craft? A randomized simulation study with lifeguards. Am J Emerg Med. 2020;38:618-623.

[24] Adelborg K, Dalgas C, Lerkevang Grove E, et al. Mouth-to-mouth ventilation is superior to mouth-to-pocket mask and bag-valve-mask ventilation during lifeguard CPR: A randomized study. Resuscitation 2011;82:618-622.

[25] Santos-Folgar M, Otero-Agra M, Fernández-Méndez F, et al. Ventilation during cardiopulmonary resuscitation in the infant. Mouth to mouth and nose, or bag-valve-mask? A quasi-experimental study. An Pediatr (Barc). 2018;89:272-278.

[26] Perkins GD, Colquhoun M, Simons R. Training manikins. ABC of resuscitation. 2004:97-101.

[27] Aranda-García S. Herrera-Pedroviejo E, Abelairas-Gómez C. Basic Life-Support learning in undergraduate students of Sports Sciences: Efficacy of 150 minutes of training and retention after eight months. Int J Environ Res Public Heath. 2019;16:4771.

[28] Chang MP, Lu Y, Leroux B, et al. Association of ventilation with out-comes from out-of-hospital cardiac arrest. Resuscitation 2019;141:174-181.

[29] Khoury A, Hugonnot S, Cossus J, et al. From Mouth-to-Mouth to Bag-Valve-Mask Ventilation: Evolution and characteristics of actual devices

– A review of the literature. Biomed Res Int. 2014;2014:762053.

[30] Aufderheide TP, Sigurdsson G, Pirrallo RG, et al. Hyperventilation-induced hypotension during Cardiopulmonary Resuscitation. Circulation. 2004;109:1960-1965.

[31] Niebauer JM, White ML, Zinkan JL, et al. Hyperventilation in pediatric resuscitation: performance in simulated pediatric medical emergencies. Pediatrics. 2011;128:e1195-200.

[32] Jo S, Lee JB. Ventilation during out-of-hospital cardiac arrest. Resuscita-tion. 20201;146:268.

[33] Christian MD, Loutfy M, McDonald LC, et al. Possible SARS coronavirus transmission during cardiopulmonary resuscitation. Emerg Infect Dis. 2004;10:287-293.

[34] Nolan JP. European Resuscitation Council COVID-19 Guidelines [Internet]. 2020; Available in: https://www.erc.edu/covid.

[35] Perkins GD, Morley PT, Nolan JP, et al. International Liaison Committee on Resuscitation: COVID-19 Consensus on Science, Treatment Recom-mendations and Task Force Insights. Resuscitation. 2020;151:145-147.

[36] Oermann MH, Kardong-Edgren SE, Odom-Maryon T. Effects of monthly practice on nursing students’ CPR psychomotor skill performance. Resuscitation. 2011;82:447-453.

[37] Johnson M, Peat A, Boyd L, et al. The impact of quantitative feedback on the performance of chest compression by basic life support trained clinical staff. Nurse Education Today. 2016;45:163-166.

[38] Toubasi S, Alosta MR, Darawad MW, et al. Impact of simulation training on Jordanian nurses’ performance of basic life support skills: A pilot study. Nurse Education Today. 2015;35:999-1003.

[39] Madden C. Undergraduate nursing students’ acquisition and retention of CPR knowledge and skills. Nurse Education Today. 2006;26:218-227.

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