RT Journal Article
T1 Knowledge and skills of pediatric residents in managing pediatric foreign body airway obstruction using novel airway clearance devices in Spain: A randomized simulation trial
A1 Carballo Fazanes, Aida
A1 Izquierdo Vázquez, Verónica
A1 Mayordomo Colunga, Juan
A1 Unzueta Roch, José Luis
A1 Rodríguez Núñez, Antonio
K1 Basic Life Support
K1 Choking emergency
K1 DeCHOKER
K1 FBAO
K1 LifeVac
K1 Training
AB Aim: Recent emergence of airway clearance devices (ACDs) as a treatment alternative for foreign body airway obstructions (FBAO) lacks substantial evidence on efficacy and safety. This study aimed to assess pediatric residents' knowledge and skills in managing a simulated pediatric choking scenario, adhering to recommended protocols, and using LifeVac© and DeCHOKER© ACDs.Methods: Randomized controlled simulation trial, in which 60 pediatric residents from 3 different hospitals (median age 27 [25.0-29.9]; 76.7% female) were asked to solve an unannounced pediatric simulated choking scenario using three interventions to manage (randomized order): 1) following the recommended protocol of the European Resuscitation Council (encouraging to cough or combination of back blows and abdominal thrusts); 2) using LifeVac©; and 3) using DeCHOKER©. A Little Anne QCPR™ manikin (Laerdal Medical) was used. The variable compliance rate (%) was calculated according to the correct/incorrect execution of the steps constituting the proper actions for each test.Results: Participants demonstrated a correct compliance rate only ranging between 50-75% in following the recommended protocol for managing partial FBAO progressing to severe. Despite unfamiliarity with the ACDs, pediatric residents achieved rates between 75% and 100%, with no significant difference noted between the two devices (p = 0.173). Both scenarios were successfully resolved in under a minute, with LifeVac© demonstrating a significantly shorter response time compared to DeCHOKER© (39.2 [30.4-49.1] vs. 45.1s [33.7-59.2], p = 0.010).Conclusions: Only a minority of pediatric residents were able to adhere to the recommended FBAO protocol, whereas 70% of them were able to adequately use the ACDs. However, since a significant proportion could not, it seems that ACDs themselves do not address all issues.
PB Elsevier
SN 2666-5204
YR 2024
FD 2024-09
LK https://hdl.handle.net/10347/43389
UL https://hdl.handle.net/10347/43389
LA eng
NO Carballo-Fazanes, A., Izquierdo, V., Mayordomo-Colunga, J., Unzueta-Roch, J. L., & Rodríguez-Núñez, A. (2024). Knowledge and skills of pediatric residents in managing pediatric foreign body airway obstruction using novel airway clearance devices in Spain: A randomized simulation trial. Resuscitation Plus, 19, Article 100695. https://doi.org/10.1016/j.resplu.2024.100695
NO Instituto de Salud Carlos III (ISCIII)
NO Red de Intervenciones de Atención Primaria para la Prevención de Enfermedades Crónicas Maternoinfantiles de Origen Perinatal y del Desarrollo RICORS RD21/0012/0020
DS Minerva
RD 24 abr 2026