Paula lafuente filgueira

Paula lafuente filgueira


Research Focus & Metrics

Academic Career Length

5Years (2022-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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16 November 2022 in Children
Verified
Journal Article
Open access
PDF file
M(Myriam Santos-Folgar (PhD)
Myriam Santos-Folgar (PhD)
PFPaula lafuente filgueira
Paula lafuente filgueira
MOMartín Otero-Agra
Martín Otero-Agra
FFFelipe Fernández-Méndez
Felipe Fernández-Méndez
RBRoberto Barcala-Furelos
Roberto Barcala-Furelos
ARAntonio Rodriguez-Nuñez
Antonio Rodriguez-Nuñez
Background: There are few studies that analyze ventilation volume and pressure during CPR carried out on infants. The aim of this study was to evaluate the quality of the ventilations administered using a self-inflating bag with an endotracheal tube and a face mask in manikins. Methods: a quasi-experimental simulation study with a randomized case crossover design [endotracheal tube (ET) vs. face mask (FM)] was performed. Sixty participants who were previously trained nursing students participated in the study. The estimated air volumes breathed, and the pressure generated during each ventilation were assessed and the quality of the chest compressions was recorded. Results: the ET test presented a higher percentage of ventilations that reached the lungs (100% vs. 86%; p < 0.001), with adequate volume (60% vs. 28%; p < 0.001) in comparison to FM. Both tests presented peak pressures generated in the airway greater than 30 cm H2O (ET: 22% vs. FM: 31%; p = 0.03). Conclusions: performing quality CPR ventilations on an infant model is not an easy skill for trained nursing students. Both tests presented a significant incidence of excessive peak pressure during ventilations. Specific training, focused on quality of ventilations guided by a manometer attached to the self-inflating bag, must be considered in life support training for pediatric providers.