Dissemin is shutting down on January 1st, 2025

Published in

De Gruyter, Journal of Perinatal Medicine, 5(40), p. 583-586, 2012

DOI: 10.1515/jpm-2012-0023

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Manual neonatal ventilation training: a respiratory function monitor helps to reduce peak inspiratory pressures and tidal volumes during resuscitation

This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

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Data provided by SHERPA/RoMEO

Abstract

Abstract Background: Neonatal resuscitation training is considered to be multifarious and includes manual ventilation as an essential competence for any health-care provider. Usually, ventilation is applied with self-inflating bags (SIBs). These devices have been shown to produce highly variable, operator-dependent peak inspiratory pressures (PIPs) and tidal volumes (VT). Excessive PIP and VT contribute to lung injury. We studied a simple tool to improve resuscitation skills. Objective: The objectives of this study were to train health-care providers to avoid excessive PIP and VT by visualizing these values by using a respiratory function monitor (RFM) and to study the sustainability of such a training. Material and methods: Previously untrained medical professionals were educated and trained to ventilate a neonatal preterm manikin. PIP and VT were measured with an RFM. Graphical representations of the measurements were displayed during training, but the RFM was blinded during subsequent recordings. Participants were reassessed directly after training and 1 month later. Results: In total, 37 participants were trained and assessed three times during the study. Median PIPs (range) were 32.3 (4.1–44) cm H2O before training, 17.8 (9.6–23.6) cm H2O directly after training (P<0.05), and 18.7 (7.5–41.6) cm H2O 1 month later, and the values remained low, compared with before training (P<0.05). Median VTs were 6.7 (4.2–44) mL before training, 3.5 (1.8–7.3) mL directly after training (P<0.05), and 4.1 (1.9–9.7 mL) 1 month after training (P<0.05). Conclusion: Using a SIB, untrained staff produced excessive PIP and VT. Training with a simple RFM significantly reduced the occurrence of excessive PIP and VT. The effect was sustained for at least 1 month.