Children with chronic critical illness are at higher risk for cardiopulmonary arrests. Before chronically ill children are discharged from hospital, family members receive training in basic life support
at many institutions. We evaluated whether a multimodal training program is able to teach adherence to current resuscitation guidelines and whether laypersons can be trained to perform both bag-mask ventilation
and mouth-to-mouth ventilation
equally effective in infants.
Prospective observational study.
Pediatric critical care unit of a tertiary referral center.
Relatives of children with chronic illness prior to discharge
and cardiopulmonary resuscitation training program.
Measurements and Main Results:
Following participation in our cardiopulmonary resuscitation training program 56 participants performed 112 simulated cardiopulmonary resuscitations (56 with mouth-to-mouth ventilation
, 56 with bag-mask ventilation
). Nearly all participants checked for consciousness and breathing. Shouting for help and activation of the emergency
response system was only performed in half of the cases. There was almost full adherence to the resuscitation guidelines regarding number of chest compressions, chest compression rate, compression depth, full chest recoil, and duration of interruption of chest compression for rescue breaths. The comparison of mouth-to-mouth ventilation
and bag-mask ventilation
revealed no significant differences regarding the rate of successful ventilation (mouth-to-mouth ventilation
: 77.1% ± 39.6%, bag-mask ventilation
: 80.4% ± 38.0%; p
= 0.39) and the cardiopulmonary resuscitation performance.
A standardized multimodal cardiopulmonary resuscitation training program for family members of chronically ill children is effective to teach good cardiopulmonary resuscitation performance and adherence to resuscitation guidelines. Laypersons could be successfully trained to equally perform mouth-to-mouth and bag-mask ventilation