Fatiga del reanimador y calidad de las compresiones torácicas en niños con y sin vía aérea asegurada
Rojas Bello, Nancy Carolina
Hernández Sómerson, Lucía Carolina
Introduction: The quality of chest compressions is important during pediatric resuscitation and is affected by several factors including rescuer fatigue, this may be conditioned by the characteristics of the compression set according to the presence or absence of an advanced device on the respiratory tract determining the continuity of the same interruption. In this study, clinical simulation was performed, evaluating the presence of rescuer fatigue versus patients with and without advanced airway device. Methodology: 12 participants were included, who performed chest compressions to a clinical simulator, both in case the maneuver 1 corresponding to cycles interrupted in order to provide ventilation, as in the case of the operation 2 in which the activity was continuous . Fatigue quality of compressions were measured by VO2 max and RPE 6-20 Borg scale. Results: The quality of compressions decreased in both groups after 2 minutes and faster when they were uninterrupted. It increased fatigue when compressions were continuous. Discussion: a directly proportional relationship of increased fatigue regarding the timing of resuscitation and inversely proportional between the quality of compressions and tiredness is evident, especially after minute 2. A time of 2 minutes could be the time ideal for achieving quality compressions and for replacement of the person performing the compressions.