Neonatal resuscitation monitoring: A low-cost video recording setup for quality improvement in the delivery room at the resuscitation table

Abstract

BackgroundThe quality of neonatal resuscitation after delivery needs to be improved to reach the Sustainable Development Goals 3.2 (reducing neonatal deaths to <12/1,000 live newborns) by the year 2030. Studies have emphasized the importance of correctly performing the basic steps of resuscitation including stimulation, heart rate assessment, ventilation, and thermal control. Recordings with video cameras have previously been shown to be one way to identify performance practices during neonatal resuscitation.MethodsA description of a low-cost delivery room set up for video recording of neonatal resuscitation. The technical setup includes rechargeable high-definition cameras with two-way audio, NeoBeat heart rate monitors, and the NeoTapAS data collection tools for iPad with direct data export of data for statistical analysis. The setup was field tested at Mulago National Referral Hospital, Kampala, Uganda, and Phu San Hanoi Hospital, Hanoi, Vietnam.ResultsThe setup provided highly detailed resuscitation video footage including data on procedures and team performance, heart rate monitoring, and clinical assessment of the neonate. The data were analyzed with the free-of-charge NeoTapAS for iPad, which allowed fast and accurate registration of all resuscitative events. All events were automatically registered and exported to R statistical software for further analysis.ConclusionsVideo analysis of neonatal resuscitation is an emerging quality assurance tool with the potential to improve neonatal resuscitation outcomes. Our methodology and technical setup are well adapted for low- and lower-middle-income countries settings where improving neonatal resuscitation outcomes is crucial. This delivery room video recording setup also included two-way audio communication that potentially could be implemented in day-to-day practice or used with remote teleconsultants.

Neuromuscular components of Apgar score in predicting delivery room respiratory support

“…Video recordings of neonatal resuscitation is practiced at several institutions all over the world mainly to review local practices and improve the performance of resuscitation. 6 The video recordings have been also used in clinical research studies to get accurate time points for the resuscitation and used as a tool in the training to assess adherence with algorithms and guidelines as well as technical, cognitive and behavioral skills. 7 The present study used small clips of videos recorded during the resuscitation of preterm infants.…”

Quality improvement initiative: implementing and redefining video review of real-time neonatal procedures using action research

“…26 27 Studies on VR are often not focused on reporting how to set up regularly organised, interprofessional VR in a way that is safe and suitable for daily practice and can be embedded on the long term. [27][28][29] There were no practical guidelines available for the implementation of this particular application of VR into the daily practice in an intensive care setting. We started the design of a new, expanded VR program, and named this the Neoflix project.…”