부산대학교 도서관

Background: NRP® guidelines suggested that simulation should become a standard component in neonatal resuscitation training and should occur more frequently than the current 2-year interval. It is known that regular resuscitation practice improves performance. However, limited information is available regarding the effect of regular resuscitation practice on the quality of cardiopulmonary resuscitation (CPR) skills under stress. We compared the quality of ventilation and chest compressions (CC) in neonatal practitioners with and without regular resuscitation practice.Methods: Thirty-two neonatal practitioners, who attended a NRP®-based Provider course workshop, were enrolled and consented to participate in the study. In the workshop, integrated skills performance of each participant was first practiced and then evaluated using standardized simulated cases. Laerdal QCPR infant model and software were used to collect the data (2-minute continuous recording) on the quality of ventilation and CC during simulated CPR. The data and demographics between participants with regular resuscitation training (defined as once/week for >6 months/year, group A, n=12) and participants without regular resuscitation training (group B, n=20). We also analyzed the incidence of prolonged non-sustained inflation during mask ventilation, unplanned interruption during T-piece ventilation, uncoordinated ventilation and CC (defined as >10 seconds for each event).Results: There were no significant differences in demographics between two groups. No significant difference was found between groups regarding the quality of ventilation and CC and synchrony between ventilation and CC during practice. During simulated resuscitation, more participants of group B had prolonged episodes of non-sustained inflation during mask ventilation and unplanned interruption during T-piece ventilation than those of group A (12[60%] and 12[60%] vs. 0[0%] and 1[8%], p=0.001, and 0.008; respectively). There was no difference in uncoordinated ventilation and CC between groups (7[35%] and 1[8%], p=0.204; respectively).Conclusions: Regular resuscitation training improved CPR skills during simulated resuscitation regardless of individual training or experience.