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...
| Published in: | BioMed Research International Vol. 2016; pp. 1 - 9 |
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| Main Authors: | , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
5/16/2016
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=115369610&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 115369610 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23146133 FT2T jtl: BioMed Research International issn: 23146133 maglogo: N pubinfo: dt: 5/16/2016 vid: 2016 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 115369610 115369610 115369610 10.1155/2016/4521767 115369610 ppf: 1 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Evaluation of Bag-Valve-Mask Ventilation in Manikin Studies: What Are the Current Limitations? aug: au: Khoury, A. Sall, F. S. De Luca, A. Pugin, A. Pili-Floury, S. Pazart, L. Capellier, G. affil: Department of Emergency Medicine & Critical Care, University of Franche-Comté, Medical Centre, 25000 Besançon, France sug: subj: Models, Anatomic Masks Respiration, Artificial Methods Ventilation, Manual Respiration, Artificial Equipment and Supplies Task Performance and Analysis Human Health Personnel Reliability Descriptive Statistics Grip Strength Respiration, Artificial Evaluation Clinical Competence France Academic Medical Centers Questionnaires Dynamometry Rheology Algorithms Chi Square Test Fisher's Exact Test Adult Middle Age Male Female Odds Ratio Logistic Regression Data Analysis Software P-Value Funding Source Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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