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- Title
An instructional video enhanced bag-mask ventilation quality during simulated newborn resuscitation.
- Authors
Deindl, Philipp; Schwindt, Jens; Berger, Angelika; Schmölzer, Georg M.
- Abstract
Aim Approximately 20% of newborns infants need respiratory support at birth. This study evaluated whether video-based education could improve quality of positive pressure ventilation ( PPV) performed by inexperienced staff during neonatal resuscitation. Methods Fourth-year medical students were randomly paired and instructed to give PPV to a modified manikin as single-person resuscitators and as two-person-paired resuscitators using either an air cushion rim mask or a round mask before and after watching a self-instructional video. Airway pressure, gas flow, tidal volume and mask leak were recorded. PPV performance quality was analysed using video recording. Results Mask leak was lower during one-person ventilation when using the air cushion rim mask (56 ± 16%) compared to the round mask (71 ± 19%). Round mask leak during one-person ventilation was significantly lower when using the two point top hold in contrast to the 'o.k.' rim hold (before training: 63 ± 22% vs. 72 ± 18%, after training: 57 ± 17% vs. 77 ± 12%). Watching a self-instructional video improved performance quality scores of both correct head positioning, and the quality of airway manoeuvres compared to baseline, however mask leak was not significantly reduced. Conclusion A self-instructional video significantly improved bag mask PPV performance in inexperienced providers but did not improve mask leak in a model of neonatal resuscitation.
- Subjects
POSITIVE pressure ventilation; RESPIRATORY therapy for newborn infants; PERINATAL care; ARTIFICIAL respiration; EMERGENCY ventilation; INSTRUCTIONAL films; LEARNING strategies; AIR cushions
- Publication
Acta Paediatrica, 2015, Vol 104, Issue 1, pe20
- ISSN
0803-5253
- Publication type
Article
- DOI
10.1111/apa.12826