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Evaluation of Bag-Valve-Mask Ventilation in Manikin Studies: What Are the Current Limitations?
Introduction. Manikin-based studies for evaluation of ventilation performance show high heterogeneity in the analysis and experimental methods used as we pointed out in previous studies. In this work, we aim to evaluate these potential limitations and propose a new analysis methodology to reliably a...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4884794/ https://www.ncbi.nlm.nih.gov/pubmed/27294119 http://dx.doi.org/10.1155/2016/4521767 |
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author | Khoury, A. Sall, F. S. De Luca, A. Pugin, A. Pili-Floury, S. Pazart, L. Capellier, G. |
author_facet | Khoury, A. Sall, F. S. De Luca, A. Pugin, A. Pili-Floury, S. Pazart, L. Capellier, G. |
author_sort | Khoury, A. |
collection | PubMed |
description | Introduction. Manikin-based studies for evaluation of ventilation performance show high heterogeneity in the analysis and experimental methods used as we pointed out in previous studies. In this work, we aim to evaluate these potential limitations and propose a new analysis methodology to reliably assess ventilation performance. Methods. One hundred forty healthcare providers were selected to ventilate a manikin with two adult self-inflating bags in random order. Ventilation parameters were analysed using different published analysis methods compared to ours. Results. Using different methods impacts the evaluation of ventilation efficiency which ranges from 0% to 45.71%. Our new method proved relevant and showed that all professionals tend to cause hyperventilation and revealed a significant relationship between professional category, grip strength of the hand keeping the mask, and ventilation performance (p = 0.0049 and p = 0.0297, resp.). Conclusion. Using adequate analysis methods is crucial to avoid many biases. Extrapolations to humans still have to be taken with caution as many factors impact the evaluation of ventilation performance. Healthcare professionals tend to cause hyperventilation with current devices. We believe this problem could be prevented by implementing monitoring tools in order to give direct feedback to healthcare professionals regarding ventilation efficiency and ventilatory parameter values. |
format | Online Article Text |
id | pubmed-4884794 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-48847942016-06-12 Evaluation of Bag-Valve-Mask Ventilation in Manikin Studies: What Are the Current Limitations? Khoury, A. Sall, F. S. De Luca, A. Pugin, A. Pili-Floury, S. Pazart, L. Capellier, G. Biomed Res Int Research Article Introduction. Manikin-based studies for evaluation of ventilation performance show high heterogeneity in the analysis and experimental methods used as we pointed out in previous studies. In this work, we aim to evaluate these potential limitations and propose a new analysis methodology to reliably assess ventilation performance. Methods. One hundred forty healthcare providers were selected to ventilate a manikin with two adult self-inflating bags in random order. Ventilation parameters were analysed using different published analysis methods compared to ours. Results. Using different methods impacts the evaluation of ventilation efficiency which ranges from 0% to 45.71%. Our new method proved relevant and showed that all professionals tend to cause hyperventilation and revealed a significant relationship between professional category, grip strength of the hand keeping the mask, and ventilation performance (p = 0.0049 and p = 0.0297, resp.). Conclusion. Using adequate analysis methods is crucial to avoid many biases. Extrapolations to humans still have to be taken with caution as many factors impact the evaluation of ventilation performance. Healthcare professionals tend to cause hyperventilation with current devices. We believe this problem could be prevented by implementing monitoring tools in order to give direct feedback to healthcare professionals regarding ventilation efficiency and ventilatory parameter values. Hindawi Publishing Corporation 2016 2016-05-16 /pmc/articles/PMC4884794/ /pubmed/27294119 http://dx.doi.org/10.1155/2016/4521767 Text en Copyright © 2016 A. Khoury et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Khoury, A. Sall, F. S. De Luca, A. Pugin, A. Pili-Floury, S. Pazart, L. Capellier, G. Evaluation of Bag-Valve-Mask Ventilation in Manikin Studies: What Are the Current Limitations? |
title | Evaluation of Bag-Valve-Mask Ventilation in Manikin Studies: What Are the Current Limitations? |
title_full | Evaluation of Bag-Valve-Mask Ventilation in Manikin Studies: What Are the Current Limitations? |
title_fullStr | Evaluation of Bag-Valve-Mask Ventilation in Manikin Studies: What Are the Current Limitations? |
title_full_unstemmed | Evaluation of Bag-Valve-Mask Ventilation in Manikin Studies: What Are the Current Limitations? |
title_short | Evaluation of Bag-Valve-Mask Ventilation in Manikin Studies: What Are the Current Limitations? |
title_sort | evaluation of bag-valve-mask ventilation in manikin studies: what are the current limitations? |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4884794/ https://www.ncbi.nlm.nih.gov/pubmed/27294119 http://dx.doi.org/10.1155/2016/4521767 |
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