The accuracy of delivery of target pressures using self‐inflating bag manometers in a benchtop study

Rafferty, Aran; Johnson, Lucy; Maxfield, Dominic; Dawson, Jennifer A; Davis, Peter G; Thió, Marta

doi:10.1111/apa.13397

Cited by 5 publications

(2 citation statements)

References 21 publications

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“…Facemask leak of 30%–54% has been reported,6 8 9 and operators are frequently unaware of this problem 6 8. When learning and performing facemask ventilation, operators lack objective methods to assess and improve their technique 10. Neither assessment of chest rise nor measurement of peak inspiratory pressure correlates well with delivered tidal volume (Vt) 11…”

Section: Introductionmentioning

confidence: 99%

Respiratory monitors to teach newborn facemask ventilation: a randomised trial

O’Curráin

Thió

Dawson

et al. 2019

Arch Dis Child Fetal Neonatal Ed

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ObjectiveThe International Liaison Committee on Resuscitation has found that there is a need for high-quality randomised trials of training interventions that improve the effectiveness of resuscitation skills. The objective of this study was to determine whether using a respiratory function monitor (RFM) during mask ventilation training with a manikin reduces facemask leak.DesignStratified, parallel-group, randomised controlled trial. Outcome assessors were blinded to group allocation.SettingThirteen hospitals in Australia, including non-tertiary sites.ParticipantsConsecutive sample of healthcare professionals attending a structured newborn resuscitation training course.InterventionsAn RFM providing real-time, objective, leak, flow and volume information was attached to the facemask during 1.5 hours of newborn ventilation and simulation training using a manikin. Participants were randomised to have the RFM display visible (intervention) or masked (control), using a computer-generated randomisation sequence.Main outcome measuresThe primary outcome was facemask leak measured after neonatal facemask ventilation training. Tidal volume was an important secondary outcome measure.ResultsParticipants were recruited from May 2016 to November 2017. Of 402 eligible participants, two refused consent. Four hundred were randomised, 200 to each group, of whom 194 in each group underwent analysis. The median (IQR) facemask leak was 23% (8%–41%) in the RFM visible group compared with 35% (14%–67%) in the masked group, p<0.0001, difference (95% CI) in medians 12 (4 to 22).ConclusionsThe display of information from an RFM improved the effectiveness of newborn facemask ventilation training.Trial registration numberACTRN12616000542493, pre-results.

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Section: Introductionmentioning

confidence: 99%

Respiratory monitors to teach newborn facemask ventilation: a randomised trial

O’Curráin

Thió

Dawson

et al. 2019

Arch Dis Child Fetal Neonatal Ed

Self Cite

View full text Add to dashboard Cite

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“…The efficacy of the T-piece device for term resuscitation is not established, and terms describing the device as the ‘gold-standard’31 should be viewed with caution. Our data suggest that in contrast to previous studies using Neopuff TPR in preterm lung models,32 delivered pressures are not consistent and vary from those preset as Crs increases.…”

Section: Discussionmentioning

confidence: 99%