Bag-Valve-Mask versus Laryngeal Mask Airway Ventilation in Cardiopulmonary Resuscitation with Continuous Compressions: A Simulation Study

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dc.contributor.authorDundar, Zerrin Defne
dc.contributor.authorAyranci, Mustafa Kursat
dc.contributor.authorKocak, Sedat
dc.contributor.authorGirisgin, Abdullah Sadik
dc.date.accessioned2024-02-23T14:16:33Z
dc.date.available2024-02-23T14:16:33Z
dc.date.issued2021
dc.departmentNEÜen_US
dc.description.abstractIntroduction: The 2017 International Liaison Committee on Resuscitation (ILCOR) guideline recommends that Emergency Medical Service (EMS) providers can perform cardiopulmonary resuscitation (CPR) with synchronous or asynchronous ventilation until an advanced airway has been placed. In the current literature, limited data on CPR performed with continuous compressions and asynchronous ventilation with bag-valve-mask (BVM) are available. Study Objective: In this study, researchers aimed to compare the effectiveness of asynchronous BVM and laryngeal mask airway (LMA) ventilation during CPR with continuous chest compressions. Methods: Emergency medicine residents and interns were included in the study. The participants were randomly assigned to resuscitation teams with two rescuers. The cross-over simulation study was conducted on two CPR scenarios: asynchronous ventilation via BVM during a continuous chest compression and asynchronous ventilation via LMA during a continuous chest compression in cardiac arrest patient with asystole. The primary endpoints were the ventilation-related measurements. Results: A total of 92 volunteers were included in the study and 46 CPRs were performed in each group. The mean rate of ventilations of the LMA group was significantly higher than that of the BVM group (13.7 [11.7-15.7] versus 8.9 [7.5-10.3] breaths/minute; P <.001). The mean volume of ventilations of the LMA group was significantly higher than that of the BVM group (358.4 [342.3-374.4] ml versus 321.5 [303.9-339.0] ml; P = .002). The mean minute ventilation volume of the LMA group was significantly higher than that of the BVM group (4.88 [4.15-5.61] versus 2.99 [2.41-3.57] L/minute; P <.001). Ventilations exceeding the maximum volume limit occurred in two (4.3%) CPRs in the BVM group and in 11 (23.9%) CPRs in the LMA group (P = .008). Conclusion: The results of this study show that asynchronous BVM ventilation with continuous chest compressions is a reliable and effective strategy during CPR under simulation conditions. The clinical impact of these findings in actual cardiac arrest patients should be evaluated with further studies at real-life scenes.en_US
dc.description.sponsorshipResearch Fund of the Necmettin Erbakan University (Konya, Turkey) [181218017]en_US
dc.description.sponsorshipFunding received from Research Fund of the Necmettin Erbakan University (Konya, Turkey; 181218017). No conflicts of interest to declare.en_US
dc.identifier.doi10.1017/S1049023X21000054
dc.identifier.endpage194en_US
dc.identifier.issn1049-023X
dc.identifier.issn1945-1938
dc.identifier.issue2en_US
dc.identifier.pmid33517953en_US
dc.identifier.scopus2-s2.0-85101241545en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage189en_US
dc.identifier.urihttps://doi.org/10.1017/S1049023X21000054
dc.identifier.urihttps://hdl.handle.net/20.500.12452/12715
dc.identifier.volume36en_US
dc.identifier.wosWOS:000625506500010en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherCambridge Univ Pressen_US
dc.relation.ispartofPrehospital And Disaster Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectBag-Valve-Masken_US
dc.subjectCardiopulmonary Resuscitationen_US
dc.subjectContinuous Compressionen_US
dc.subjectLaryngeal Mask Airwayen_US
dc.subjectVentilationen_US
dc.titleBag-Valve-Mask versus Laryngeal Mask Airway Ventilation in Cardiopulmonary Resuscitation with Continuous Compressions: A Simulation Studyen_US
dc.typeArticleen_US

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