Prenatal interventions for fetal lung lesions

Developmen

Neonatal outcome after prenatal interventions for congenital lung lesions

Developmen

Two-Minute Training for Improving Neonatal Bag and Mask Ventilation

Developmen

Variability in the Assessment of 'Adequate' Chest Excursion during Simulated Neonatal Resuscitation

Developmen

Leak and obstruction with mask ventilation during simulated neonatal resuscitation

Objectives To evaluate mask technique during simulated neonatal resuscitation and test the effectiveness of training in optimal mask handling. Study design Seventy participants (consultants, registrars and nurses) from neonatal units were asked to administer positive pressure ventilation at a flow of 8 l/min and a frequency of 40-60/min to a modified leak free, term newborn manikin (lung compliance 0.5 ml/cm H2O) using a Neopuff T-piece device. Recordings were made (1) before training, (2) after training in mask handling and (3) 3 weeks later. Leak was calculated. Obstruction (tidal volume <60% of optimal tidal volume) and severe obstruction (<30% of optimal tidal volume) were calculated when leak was minimal. Results For the 70 participants, median (IQR) leak was 71% (32-95%) before training, 10% (5-37%) directly after training and 15% (4-33%) 3 weeks later (p<0.001). When leak was minimal, gas flow obstruction was observed before, directly after training and 3 weeks later in 46%, 42% and 37% of inflations, respectively. Severe obstruction did not occur. Conclusions Mask ventilation during simulated neonatal resuscitation was often hampered by large leaks at the face mask. Moderate airway obstruction occurred frequently when effort was taken to minimise leak. Training in mask ventilation reduced mask leak but should also focus on preventing airway obstruction

Low versus High Gas Flow Rate for Respiratory Support of Infants at Birth: A Manikin Study

Epidemiology in Pediatrics and Child Healt

Leak and obstruction with mask ventilation during simulated neonatal resuscitation

Objectives To evaluate mask technique during simulated neonatal resuscitation and test the effectiveness of training in optimal mask handling. Study design Seventy participants (consultants, registrars and nurses) from neonatal units were asked to administer positive pressure ventilation at a flow of 8 l/min and a frequency of 40-60/min to a modified leak free, term newborn manikin (lung compliance 0.5 ml/cm H2O) using a Neopuff T-piece device. Recordings were made (1) before training, (2) after training in mask handling and (3) 3 weeks later. Leak was calculated. Obstruction (tidal volume <60% of optimal tidal volume) and severe obstruction (<30% of optimal tidal volume) were calculated when leak was minimal. Results For the 70 participants, median (IQR) leak was 71% (32-95%) before training, 10% (5-37%) directly after training and 15% (4-33%) 3 weeks later (p<0.001). When leak was minimal, gas flow obstruction was observed before, directly after training and 3 weeks later in 46%, 42% and 37% of inflations, respectively. Severe obstruction did not occur. Conclusions Mask ventilation during simulated neonatal resuscitation was often hampered by large leaks at the face mask. Moderate airway obstruction occurred frequently when effort was taken to minimise leak. Training in mask ventilation reduced mask leak but should also focus on preventing airway obstruction.Epidemiology in Pediatrics and Child Healt

Comment on Papathanasious D et al.: Monochorionic Twins with Ruptured Vasa Previa: Doulble Trouble! (Fetal Diagn Ther 2010;28:48-50) Reply

Developmen

Auditing documentation on delivery room management using video and physiological recordings

Developmen