Ventilation efficacy during paediatric cardiopulmonary resuscitation (PEDIVENT): simulation-based comparative study

SKŘÍŠOVSKÁ, Tamara, Jana DJAKOW, Petr JABANDŽIEV, Tereza KRAMPLOVÁ, Jozef KLUČKA, Martina KOSINOVÁ and Petr ŠTOURAČ. Ventilation efficacy during paediatric cardiopulmonary resuscitation (PEDIVENT): simulation-based comparative study. Frontiers in Medicine. LAUSANNE: FRONTIERS MEDIA SA, 2024, vol. 11, May 2024. ISSN 2296-858X. Available from: https://dx.doi.org/10.3389/fmed.2024.1400948.

Basic information

• Original name: Ventilation efficacy during paediatric cardiopulmonary resuscitation (PEDIVENT): simulation-based comparative study
• Authors: SKŘÍŠOVSKÁ, Tamara, Jana DJAKOW, Petr JABANDŽIEV, Tereza KRAMPLOVÁ, Jozef KLUČKA, Martina KOSINOVÁ and Petr ŠTOURAČ.
• Edition: Frontiers in Medicine, LAUSANNE, FRONTIERS MEDIA SA, 2024, 2296-858X.

Other information

• Original language: English
• Type of outcome: Article in a journal
• Country of publisher: Switzerland
• Confidentiality degree: is not subject to a state or trade secret
• WWW: URL
• Impact factor: Impact factor: 3.900 in 2022
• Organization unit: Faculty of Medicine
• Doi: http://dx.doi.org/10.3389/fmed.2024.1400948
• UT WoS: 999
• Keywords in English: ventilation efficacy; paediatric cardiopulmonary resuscitation
• Tags: 14110322, 14110528
• Tags: International impact, Reviewed

Abstract

Introduction: This simulation-based study aimed to evaluate the efficacy of ventilation during paediatric cardiopulmonary resuscitation (CPR) provided by healthcare professionals (HCPs) and lay rescuers (LRs). The objective was to assess the number of effective breaths delivered during the initial sequence of CPR. Effective ventilation plays a critical role during paediatric CPR as most cardiac arrests are secondary to hypoxia in origin. The recommendations on initial resuscitation in unresponsive, non-breathing children differ worldwide. The European Resuscitation Council (ERC) guidelines recommend five breaths before starting the chest compressions. Yet, this recommendation was based on the expert consensus historically and has not changed since 2000 because of the lack of evidence. This research addresses the identified knowledge gap, with potential implications for improving resuscitation practices and ultimately enhancing patient outcomes. Methods: HCPs and LRs performed 90 s of CPR involving two mannequins: 5-kg Baby and 20-kg Junior. Both groups (HCPs and LRs) performed the task before and after structured CPR training, and the efficacy of ventilation before and after the training was compared. The HCPs provided bag-mask ventilation; LR performed dispatcher-assisted CPR with mouth-to-mouth ventilation. Results: The number of participants that reached the primary outcome before and after the training in Baby was 26 (65%) vs. 40 (100%) in HCPs and 28 (60.9%) vs. 45 (97.8%) in LRs (improvement in both p < 0.001), respectively. The number of participants that reached the primary outcome before and after the training in the Junior mannequin was 31 (77.5%) vs. 32 (82.1%) in HCPs (p = 0.77) and 32 (82.1%) vs. 37 (94.9%) in LRs (p = 0.005), respectively. Discussion: This simulation-based study is the first to investigate ventilation efficacy during paediatric CPR provided by HCPs and LRs. Ventilation represents an important aspect of good-quality CPR in children. The concept of initiating paediatric CPR with initial breaths, as stated in ERC guidelines 2021, is justifiable. Trained HCPs and LRs providing dispatcher-assisted CPR could deliver effective ventilation to paediatric mannequins. These findings can contribute to future research in this area and address identified knowledge gaps concerning resuscitation guidelines, given the unique practical application of simulation as a research tool.

Links

• MUNI/A/1551/2023, interní kód MU: Name: Rozvoj vědeckých aspektů simulačního vzdělávání na LF MU I.

Investor: Masaryk University, Expansion of scientigic aspects in simulation-based education I.

• MUNI/A/1595/2023, interní kód MU: Name: Optimalizace bezpečnosti intenzivní a perioperační péče II

Investor: Masaryk University, Optimizing the safety of intensive and perioperative care II