Document Detail

Nasal route to ventilation during basic cardiopulmonary resuscitation in children under two months of age.
MedLine Citation:
PMID:  10203404     Owner:  NLM     Status:  MEDLINE    
In order to determine the feasibility of performing mouth to mouth and nose resuscitation according to the established guidelines, a study was carried out on the facial dimensions of 40 children under 2 months of age (20 under 1 month and 20 aged 1 month) and the open-mouth dimensions of the 40 adults in charge of these children. Only nine adults in charge of children under 1 month of age would have been able to seal the mouth and nose of these infants. In the case of the 1 month old infants, only one adult (5%) proved able to encircle the mouth and nose. Strikingly, none of the adults involved in this study would have been able to perform the ventilation manoeuvres in children with open mouths as recommended by the American Heart Association and European Resuscitation Council guidelines. In conclusion, since adults are unable to cover with their mouths both the mouth and nose of the infants, the nasal route to ventilation, with oral sealing of the nose, is recommended as the best approach for the practice and teaching of the basic cardiopulmonary resuscitation (CPR) in children under 2 months of age who have respiratory arrest.
J Sorribes del Castillo; C Carrión Pérez; J Sanz Ribera
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Resuscitation     Volume:  35     ISSN:  0300-9572     ISO Abbreviation:  Resuscitation     Publication Date:  1997 Nov 
Date Detail:
Created Date:  1999-04-27     Completed Date:  1999-04-27     Revised Date:  2009-08-25    
Medline Journal Info:
Nlm Unique ID:  0332173     Medline TA:  Resuscitation     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  249-52     Citation Subset:  IM    
Servicio Ordinario de Urgencias de Carlet, Centro de Salud de Carlet, Valencia, Spain.
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MeSH Terms
American Heart Association
Apnea / therapy
Cardiopulmonary Resuscitation / education,  methods*
Face / anatomy & histology
Feasibility Studies
Guidelines as Topic
Infant, Newborn
Mouth / anatomy & histology
Nose / physiology*
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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