Airway Management, Asphyxia Neonatorum, Cardiopulmonary Resuscitation (CPR), Neonatal Resuscitation
Conditions
Brief summary
The purpose of this study is to evaluate the time required for laryngeal mask airway (LMA) insertion, first-attempt success rates, and airway sealing quality (air leak) during neonatal resuscitation with and without interrupting chest compressions. Standard resuscitation guidelines recommend pausing chest compressions for airway interventions due to the difficulty of inserting devices during physical movement. However, interrupting compressions drops coronary and cerebral perfusion. This study tests whether an LMA can be successfully inserted without pausing compressions in a high-fidelity simulation model. A total of 32 anesthesiologists participate in this randomized, crossover simulation study using a high-fidelity neonatal manikin. Participants perform two different scenarios in a randomly allocated order: Scenario A involves standard LMA insertion with interrupted chest compressions, and Scenario B involves LMA insertion during continuous, uninterrupted chest compressions. The primary objective is to determine if performing the procedure under continuous chest compressions affects the procedure time, clinical success, air leak volumes, or the perceived workload and stress of the practitioners.
Interventions
DEVICESize 1 ProSeal™ LMA
Laryngeal Mask Airway used for neonatal ventilation simulation.
Sponsors
Kahramanmaras Sutcu Imam University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
1. Being a senior anesthesiology resident (completed 2nd year) or an attending anesthesiologist. 2. Voluntary participation with signed informed consent.
Exclusion criteria
1. Refusal to participate. 2. Major physical disability that limits psychomotor tasks.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| LMA Insertion Time | Periprocedural | The time (in seconds) elapsed from the moment the participant picks up the LMA until the device is seated in the anatomical position and the first lung ventilation is achieved. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| First-attempt insertion success rate | Periprocedural | Percentage of participants succeeding on the first try |
| Measured Air Leak Volume | 1 minute post-procedure | Measured Air Leak Volume (L/min) during 1-minute ventilation. |
| Perceived Procedural Difficulty | Immediate post-procedure | Measured via Visual Analogue Scale - VAS, 0 to 10 |
Countries
Turkey (Türkiye)
Outcome results
None listed