DOI QR코드

DOI QR Code

Effects of educational intervention on single-rescuer respiratory-assistant therapy using a bag valve mask

백-밸브-마스크를 이용한 1인 호흡보조요법 교육의 효과

  • Lee, Yong-Jae (Department of Emergency Medical Service, Daejeon University) ;
  • Uhm, Dong-Choon (Department of Emergency Medical Service, Daejeon University)
  • Received : 2019.10.02
  • Accepted : 2019.12.13
  • Published : 2019.12.31

Abstract

Purpose: This study was conducted to identify the effects of educational intervention on pre-test and post-test tidal volume, endotracheal peak pressure, and ventilation interval measurements during single-rescuer respiratory-assistant therapy by paramedic students. Methods: The present study, with a quasi-experimental design, included a pre-test and post-test nonequivalent control group. A total of 62 paramedic students (31, experimental group; 31, control group) participated in this study. The intervention lasted 80 minutes. Data were collected from each student before the intervention and two weeks after the intervention, between September 3 and 21, 2018. The collected data were analyzed using IBM SPSS Statistics for Windows, Version 25.0. Results: Tidal volume (p<.001) and endotracheal peak pressure (p=.002) measurements after the intervention were significantly different between the two groups. Analysis of covariance was used to control the variance (the pretest value of endotracheal peak pressure) in order to identify the effect of the intervention in the two groups. Endotracheal peak pressure was not significantly different between the two groups. Conclusion: Education and training of paramedic students in emergency medical services on single-rescuer respiratory-assistant therapy is necessary for the emergency care of patients with respiratory arrest.

Keywords

References

  1. Hwang SH, Im KS. Cardiopulmonary resuscitation and advanced cardiovascular life support. 5th ed. Seoul: Koonja, 2016. 3-13.
  2. Statistics Korea. Cause of death statistics. Available at:http://kostat.go.kr/portal/korea/index.action
  3. Strote J, Roth R, Cone DC, Wang HE. Prehospital endotracheal intubation: the controversy continues (Conference Proceedings). Am J Emerg Med 2009;27(9):1142-7. https://doi.org/10.1016/j.ajem.2008.08.011
  4. Kramer-Johansen J, Wik L, Steen PA. Advanced cardiac life support before and after tracheal intubation-direct measurements of quality. Resuscitation 2006;68(1):61-9. https://doi.org/10.1016/j.resuscitation.2005.05.020
  5. Kim ST, Kang BR, Tak YJ. Comparative assessment of the easiness and speed of insertion of three supraglottic airway devices-A manikin study. Korean J Emerg Med 2012;16(2):23-30.
  6. Gabrielli A, Layon AJ, Wenzel V, Dorges V, Idris AH. Alternative ventilation strategies in cardiopulmonary resuscitation. Curr Opin Crit Care 2002;8(3):199-211 https://doi.org/10.1097/00075198-200206000-00002
  7. Link MS, Berkow LC, Kudenchuk PJ, Halperin HR, Hess EP, Moitra VK, Neumar RW et al. Part 7: Adult Advanced Cardiovascular Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015;132(18):444-64. https://doi.org/10.1161/CIR.0000000000000261
  8. Kleinman ME, Brennan EE, Goldberger ZD, Swor RA, Terry M, Bobrow BJ et al. Part 5:Adult Basic Life Support and Cardiopulmonary Resuscitation Quality: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2015;132(18):414-35. https://doi.org/10.1161/CIR.0000000000000259
  9. Korean 2015 guidelines for cardiopulmonary resuscitation and emergency cardiocascular care. http://www.kacpr.org
  10. An JY. The effect of bag-valve mask using skill education with flowmeter. Unpublished master's thesis, Yeungnam University 2018, Daegu, Korea.
  11. Uhm TH, Jung HK. Comparison of cardiopulmonary resuscitation quality using the over-the-head and lateral conventional positions with a bag-valve-mask device performed by a single rescuer : A manikin study. Korean J Emerg Med Ser 2016;20(1):7-15. https://doi.org/10.14408/KJEMS.2016.20.1.007
  12. Shin SY, Lee JG, Roh SG. Comparative analysis of tidal volume and airway pressure with a bag-valve mask using RespiTrainer. Fire Sci Eng 2014;28(6):76-81. https://doi.org/10.7731/KIFSE.2014.28.6.076
  13. Joffe AM, Hetzel S, Liew EC. A two-handed jaw-thrust technique is superior to the one-handed "EC-clamp" technique for mask ventilation in the apneic unconscious person. Anesthesiology 2010;113:873-9. https://doi.org/10.1097/ALN.0b013e3181ec6414
  14. Hart D, Reardon R, Ward C, Miner J. Face mask ventilation: a comparison of three techniques. J Emerg Med 2013;44(5):1028-33. https://doi.org/10.1016/j.jemermed.2012.11.005
  15. Lee NJ, Baek ML. Comparison of ventilation effects by mask-sealing methods during bag-valve-mask ventilation. Korean J Emerg Med Ser 2018;22(1):73-82. https://doi.org/10.14408/KJEMS.2018.22.1.073
  16. Stockinger ZT, McSwain NE Jr. Prehospital endotracheal intubation for trauma does not improve survival over bag-valve-mask ventilation. The Journal of Trauma : Injury, Infection, and Critical Care 2004;56(3):531-6. https://doi.org/10.1097/01.ta.0000111755.94642.29
  17. Fiala A, Lederer W, Neumayr A, Egger T, Neururer S, Toferer E et al. EMT-led laryngeal tube vs. face-mask ventilation during cardiopulmonary resuscitation-a multicenter prospective randomized trial. Scand J Trauma Resusc Emerg Med 2017;25:104. https://doi.org/10.1186/s13049-017-0446-1
  18. The standard protocols for 119 emergency medical services provider. NFA 2015. Korea.
  19. Hong JY, Oh JE, Kim CW, Kim SE, Lee HD, Shin JH. Effects of bed height on the performance of endotracheal intubation and bag mask ventilation. Signa Vitae 2016;12(1):47-51. https://doi.org/10.22514/SV121.102016.8
  20. Korean emergency airway management society. Emergency airway management(Gregg S, Margolis). 3th ed. Seoul: Koonja, 2007. 99-137.
  21. Ryu HH, Han SC, Jueng KW, Heo T. Metronome guided CPR to improve the quality of CPR. J Korean Soc Emerg Med 2006;17(3):217-24.
  22. Lee EA, Lim NY, Park HA, Lee IS, Kim JI, Bae JE et al. Nursing research and statistical analysis. Paju: Soomoonsa, 2009.
  23. Uhm DC, Ko BY. Effectiveness of education regarding cuff pressure after endotracheal intubation. Korean J Emerg Med Ser 2017;21(2): 7-15. https://doi.org/10.14408/KJEMS.2017.21.2.007
  24. Uhm DC, Kim AJ. Factors influencing performance confidence in paramedic student by knowledge and experience of respiratory-assistant therapy. Korean J Emerg Med Ser 2018;22(2):67-77. https://doi.org/10.14408/KJEMS.2018.22.2.067
  25. Park YN. Effect of Pre-hospital advanced cardiopulmonary life support (ACLS) simulation training on paramedic's competency. Unpublished master's thesis, Kangwon National University 2017, Samcheok, Korea.
  26. Hyun KR, Moon JD. Comparison of compression pause time between different rescue ventilation maneuvers in two-rescuer cardiopulmonary resuscitation. Korean J Emerg Med Ser 2015;19(2):7-17. https://doi.org/10.14408/KJEMS.2015.19.2.007
  27. Aufderheide TP, Sigurdsson G, Pirrallo RG, Yannopoulos D, McKnite S, Briesen C et al. Hyperventilation-induced hypotension during cardiopulmonary resuscitation. Circulation 2004;109(16):1960-5. https://doi.org/10.1161/01.CIR.0000126594.79136.61