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One-rescuer newborn CPR using a face mask or an i-gel supraglottic airway and two-finger compressions – A manikin study with cross-over desgin

INTRODUCTION: When unanticipated neonatal asphyxia occurs, it may be necessary for a single resuscitator to commence advanced resuscitation before others arrive. We hypothesised that a single rescuer can provide positive pressure ventilations and chest compressions using higher inflation pressures a...

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Detalles Bibliográficos
Autores principales: Isobe, Aoi, Asui, Risa, Katayama, Toshiro, Mizumoto, Hiroshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9309653/
https://www.ncbi.nlm.nih.gov/pubmed/35898589
http://dx.doi.org/10.1016/j.resplu.2022.100276
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author Isobe, Aoi
Asui, Risa
Katayama, Toshiro
Mizumoto, Hiroshi
author_facet Isobe, Aoi
Asui, Risa
Katayama, Toshiro
Mizumoto, Hiroshi
author_sort Isobe, Aoi
collection PubMed
description INTRODUCTION: When unanticipated neonatal asphyxia occurs, it may be necessary for a single resuscitator to commence advanced resuscitation before others arrive. We hypothesised that a single rescuer can provide positive pressure ventilations and chest compressions using higher inflation pressures and better adherence to the recommended compression rate with an i-gel supraglottic airway than with a face mask. METHOD: A manikin-based cross-over study was conducted. Twenty-one midwives performed both positive pressure ventilation using a T-piece and chest compressions with the two-finger technique on a newborn manikin alone. They performed ventilation with a face mask or an i-gel. The peak inspiratory pressure (PIP) was set to 30 cmH(2)O. The actual PIPs were evaluated based on the values displayed on the manometer. The total amount of time taken to complete 30 cycles of three compressions and one ventilation was also evaluated. RESULTS: The mean of the average PIP for each participant was significantly lower with a face mask than with an i-gel (17.3 ± 4.4 vs 28.2 ± 2.0 cmH(2)O, p < 0.00001). The amount of time taken to complete 30 cycles was significantly longer with a face mask than with an i-gel (66.2 ± 6.1 vs 60.6 ± 3.4 seconds, p < 0.0001). CONCLUSION: During one-rescuer newborn resuscitation using a T-piece and the two-finger technique, the PIPs are consistently high and 30 cycles of CPR are better adhered to 60 seconds using an i-gel.
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spelling pubmed-93096532022-07-26 One-rescuer newborn CPR using a face mask or an i-gel supraglottic airway and two-finger compressions – A manikin study with cross-over desgin Isobe, Aoi Asui, Risa Katayama, Toshiro Mizumoto, Hiroshi Resusc Plus Short Paper INTRODUCTION: When unanticipated neonatal asphyxia occurs, it may be necessary for a single resuscitator to commence advanced resuscitation before others arrive. We hypothesised that a single rescuer can provide positive pressure ventilations and chest compressions using higher inflation pressures and better adherence to the recommended compression rate with an i-gel supraglottic airway than with a face mask. METHOD: A manikin-based cross-over study was conducted. Twenty-one midwives performed both positive pressure ventilation using a T-piece and chest compressions with the two-finger technique on a newborn manikin alone. They performed ventilation with a face mask or an i-gel. The peak inspiratory pressure (PIP) was set to 30 cmH(2)O. The actual PIPs were evaluated based on the values displayed on the manometer. The total amount of time taken to complete 30 cycles of three compressions and one ventilation was also evaluated. RESULTS: The mean of the average PIP for each participant was significantly lower with a face mask than with an i-gel (17.3 ± 4.4 vs 28.2 ± 2.0 cmH(2)O, p < 0.00001). The amount of time taken to complete 30 cycles was significantly longer with a face mask than with an i-gel (66.2 ± 6.1 vs 60.6 ± 3.4 seconds, p < 0.0001). CONCLUSION: During one-rescuer newborn resuscitation using a T-piece and the two-finger technique, the PIPs are consistently high and 30 cycles of CPR are better adhered to 60 seconds using an i-gel. Elsevier 2022-07-22 /pmc/articles/PMC9309653/ /pubmed/35898589 http://dx.doi.org/10.1016/j.resplu.2022.100276 Text en © 2022 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Short Paper
Isobe, Aoi
Asui, Risa
Katayama, Toshiro
Mizumoto, Hiroshi
One-rescuer newborn CPR using a face mask or an i-gel supraglottic airway and two-finger compressions – A manikin study with cross-over desgin
title One-rescuer newborn CPR using a face mask or an i-gel supraglottic airway and two-finger compressions – A manikin study with cross-over desgin
title_full One-rescuer newborn CPR using a face mask or an i-gel supraglottic airway and two-finger compressions – A manikin study with cross-over desgin
title_fullStr One-rescuer newborn CPR using a face mask or an i-gel supraglottic airway and two-finger compressions – A manikin study with cross-over desgin
title_full_unstemmed One-rescuer newborn CPR using a face mask or an i-gel supraglottic airway and two-finger compressions – A manikin study with cross-over desgin
title_short One-rescuer newborn CPR using a face mask or an i-gel supraglottic airway and two-finger compressions – A manikin study with cross-over desgin
title_sort one-rescuer newborn cpr using a face mask or an i-gel supraglottic airway and two-finger compressions – a manikin study with cross-over desgin
topic Short Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9309653/
https://www.ncbi.nlm.nih.gov/pubmed/35898589
http://dx.doi.org/10.1016/j.resplu.2022.100276
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