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...
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| Veröffentlicht in: | Archives of disease in childhood. Fetal and neonatal edition 2010-11, Vol.95 (6), p.F398-F402 |
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| container_title | Archives of disease in childhood. Fetal and neonatal edition |
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| creator | Schilleman, Kim Witlox, Ruben S Lopriore, Enrico Morley, Colin J Walther, Frans J te Pas, Arjan B |
| description | 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 |
| doi_str_mv | 10.1136/adc.2009.182162 |
| format | Article |
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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.</description><identifier>ISSN: 1359-2998</identifier><identifier>EISSN: 1468-2052</identifier><identifier>DOI: 10.1136/adc.2009.182162</identifier><identifier>PMID: 20591880</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><subject>Airway Obstruction - etiology ; Clinical Competence ; Education, Medical, Continuing ; Education, Nursing, Continuing ; Humans ; Infant, Newborn ; Manikins ; Masks ; Obstruction to flow ; Perinatal Care - methods ; Perinatal Care - standards ; Positive-Pressure Respiration - adverse effects ; Positive-Pressure Respiration - instrumentation ; Positive-Pressure Respiration - standards ; Protective equipment ; Resuscitation - adverse effects ; Resuscitation - education ; Resuscitation - instrumentation ; Resuscitation - standards ; Training ; Ventilation</subject><ispartof>Archives of disease in childhood. Fetal and neonatal edition, 2010-11, Vol.95 (6), p.F398-F402</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Copyright: 2010 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b397t-89e151e78e33118a56c6092812b07b73be7ebad3bded2e1f5aae94d7c16b89963</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://fn.bmj.com/content/95/6/F398.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://fn.bmj.com/content/95/6/F398.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,780,784,3194,23570,27923,27924,77371,77402</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20591880$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schilleman, Kim</creatorcontrib><creatorcontrib>Witlox, Ruben S</creatorcontrib><creatorcontrib>Lopriore, Enrico</creatorcontrib><creatorcontrib>Morley, Colin J</creatorcontrib><creatorcontrib>Walther, Frans J</creatorcontrib><creatorcontrib>te Pas, Arjan B</creatorcontrib><title>Leak and obstruction with mask ventilation during simulated neonatal resuscitation</title><title>Archives of disease in childhood. Fetal and neonatal edition</title><addtitle>Arch Dis Child Fetal Neonatal Ed</addtitle><description>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.</description><subject>Airway Obstruction - etiology</subject><subject>Clinical Competence</subject><subject>Education, Medical, Continuing</subject><subject>Education, Nursing, Continuing</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Manikins</subject><subject>Masks</subject><subject>Obstruction to flow</subject><subject>Perinatal Care - methods</subject><subject>Perinatal Care - standards</subject><subject>Positive-Pressure Respiration - adverse effects</subject><subject>Positive-Pressure Respiration - instrumentation</subject><subject>Positive-Pressure Respiration - standards</subject><subject>Protective equipment</subject><subject>Resuscitation - adverse effects</subject><subject>Resuscitation - education</subject><subject>Resuscitation - instrumentation</subject><subject>Resuscitation - standards</subject><subject>Training</subject><subject>Ventilation</subject><issn>1359-2998</issn><issn>1468-2052</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkLtvFDEQhy0EIg-o6dBKFEhIe_HYu36U6AQEcgoSAlrLXs-B7_YRbC-Q_x5fNklBk2qsmW_GP32EvAC6AuDizPpuxSjVK1AMBHtEjqERqma0ZY_Lm7e6ZlqrI3KS0o5SClLKp-SozDUoRY_Jlw3afWVHX00u5Th3OUxj9Sfkn9Vg0776jWMOvb3p-jmG8UeVwjCXDvpqxGm02fZVxDSnLuQb7hl5srV9wue39ZR8e__u6_q83nz-8HH9dlM7rmWulUZoAaVCzgGUbUUnqGYKmKPSSe5QorOeO4-eIWxba1E3XnYgnNJa8FPyerl7FadfM6ZshpA67Htbcs3JSAGUsxaaQr76j9xNcxxLOANS0abRQFmhzhaqi1NKEbfmKobBxmsD1Bxsm2LbHGybxXbZeHl7d3YD-nv-Tm8B6gUIKePf-7mNeyMkl625_L42F-cN5e0nYQ5B3yy8G3YP_v4PvHCW5w</recordid><startdate>201011</startdate><enddate>201011</enddate><creator>Schilleman, Kim</creator><creator>Witlox, Ruben S</creator><creator>Lopriore, Enrico</creator><creator>Morley, Colin J</creator><creator>Walther, Frans J</creator><creator>te Pas, Arjan B</creator><general>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>201011</creationdate><title>Leak and obstruction with mask ventilation during simulated neonatal resuscitation</title><author>Schilleman, Kim ; Witlox, Ruben S ; Lopriore, Enrico ; Morley, Colin J ; Walther, Frans J ; te Pas, Arjan B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b397t-89e151e78e33118a56c6092812b07b73be7ebad3bded2e1f5aae94d7c16b89963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Airway Obstruction - etiology</topic><topic>Clinical Competence</topic><topic>Education, Medical, Continuing</topic><topic>Education, Nursing, Continuing</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Manikins</topic><topic>Masks</topic><topic>Obstruction to flow</topic><topic>Perinatal Care - methods</topic><topic>Perinatal Care - standards</topic><topic>Positive-Pressure Respiration - adverse effects</topic><topic>Positive-Pressure Respiration - instrumentation</topic><topic>Positive-Pressure Respiration - standards</topic><topic>Protective equipment</topic><topic>Resuscitation - adverse effects</topic><topic>Resuscitation - education</topic><topic>Resuscitation - instrumentation</topic><topic>Resuscitation - standards</topic><topic>Training</topic><topic>Ventilation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schilleman, Kim</creatorcontrib><creatorcontrib>Witlox, Ruben S</creatorcontrib><creatorcontrib>Lopriore, Enrico</creatorcontrib><creatorcontrib>Morley, Colin J</creatorcontrib><creatorcontrib>Walther, Frans J</creatorcontrib><creatorcontrib>te Pas, Arjan B</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of disease in childhood. Fetal and neonatal edition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schilleman, Kim</au><au>Witlox, Ruben S</au><au>Lopriore, Enrico</au><au>Morley, Colin J</au><au>Walther, Frans J</au><au>te Pas, Arjan B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Leak and obstruction with mask ventilation during simulated neonatal resuscitation</atitle><jtitle>Archives of disease in childhood. Fetal and neonatal edition</jtitle><addtitle>Arch Dis Child Fetal Neonatal Ed</addtitle><date>2010-11</date><risdate>2010</risdate><volume>95</volume><issue>6</issue><spage>F398</spage><epage>F402</epage><pages>F398-F402</pages><issn>1359-2998</issn><eissn>1468-2052</eissn><abstract>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.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</pub><pmid>20591880</pmid><doi>10.1136/adc.2009.182162</doi></addata></record> |
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| identifier | ISSN: 1359-2998 |
| ispartof | Archives of disease in childhood. Fetal and neonatal edition, 2010-11, Vol.95 (6), p.F398-F402 |
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| source | MEDLINE; BMJ Journals - NESLi2 |
| subjects | Airway Obstruction - etiology Clinical Competence Education, Medical, Continuing Education, Nursing, Continuing Humans Infant, Newborn Manikins Masks Obstruction to flow Perinatal Care - methods Perinatal Care - standards Positive-Pressure Respiration - adverse effects Positive-Pressure Respiration - instrumentation Positive-Pressure Respiration - standards Protective equipment Resuscitation - adverse effects Resuscitation - education Resuscitation - instrumentation Resuscitation - standards Training Ventilation |
| title | Leak and obstruction with mask ventilation during simulated neonatal resuscitation |
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