An instructional video enhanced bag‐mask ventilation quality during simulated newborn resuscitation. (30th October 2014)

• Record Type: Journal Article
• Authors: Deindl, Philipp; Schwindt, Jens; Berger, Angelika; Schmölzer, Georg M.
• Is Part Of: Acta pædiatrica. Volume 104:Number 1(2015:Jan.)
• Page Start: e20
• Page End: e26
• Publication Date: 2014-10-30
• Subjects: Pediatrics -- Periodicals; Pediatrics; 618.92
• DOI: 10.1111/apa.12826
• Languages: English
• ISSNs: 0803-5253

Abstract

<abstract abstract-type="main" id="apa12826-abs-0001"> <title>Abstract</title> <sec id="apa12826-sec-0001" sec-type="section"> <title>Aim</title> <p>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.</p> </sec> <sec id="apa12826-sec-0002" sec-type="section"> <title>Methods</title> <p>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.</p> </sec> <sec id="apa12826-sec-0003" sec-type="section"> <title>Results</title> <p>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.</p> </sec> <sec id="apa12826-sec-0004" sec-type="section"> <title>Conclusion</title> <p>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.</p> </sec> </abstract>