Heart Rate Assessment, Neonatal Resuscitation
Conditions
Keywords
Heart rate, Assessment, Time, Resuscitation intervention
Brief summary
NeoTapAdvancedSupport (NeoTapAS) is a free-of-charge mobile application that showed good accuracy in HR estimation. This study aims to evaluate the impact of NeoTapAS on timing of HR communication and of resuscitation interventions in a high fidelity simulation scenario.
Detailed description
Assessing the HR by auscultation can be limited due to imprecise auscultation and/or errors in mental computation, leading to inappropriate or delayed resuscitation. Previous studies evaluated a free-of-charge mobile application (NeoTapAdvancedSupport, NeoTapAS) to help HR assessment in a simulated scenario of neonatal resuscitation. NeoTapAS showed good accuracy in estimating HR and could be a useful tool in resource-constrained settings. Another potential advantage of using NeoTapAS may be the anticipation of HR communication during resuscitation, because it avoids mental computation and possible errors due to the stressful situation. In addition, prompt HR assessment may lead to anticipating resuscitation interventions. However, these hypotheses remain to be demonstrated. The aim of this study is to evaluate the promptness in HR communication using NeoTapAS compared with mental computation in a high-fidelity simulated newborn resuscitation scenario. In addition, the impact of NeoTapAS on timing of resuscitation procedures will be investigated.
Interventions
OTHERAuscultation without NeoTapAS
Auscultation without NeoTapAS
OTHERAuscultation plus NeoTapAS
Pediatric resident responsible for HR assessment will estimate the HR by listening to the praecordium with a stethoscope. When using NeoTapAS, he/she will simultaneously tap the same pace on the screen of an iPad with the NeoTapAS app installed and will verbally communicate the HR displayed on the screen.
Sponsors
University Hospital Padova
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
DIAGNOSTIC
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* All pediatric residents from third to fifth year of residency of the University of Piemonte Orientale who were trained on neonatal resuscitation
Exclusion criteria
* Lack of EC approval * Lack of consent to record the scenario and to use the data
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Timing of the first HR communication. | 1 min | Time elapsed from birth to the first HR communication |
Secondary
| Measure | Time frame |
|---|---|
| Timing of the second HR communication | 2 min |
| Timing of the third HR communication | 3 min |
| Timing of the fourth HR communication | 4 min |
| Timing of resuscitation interventions (positive pressure ventilation, chest compressions, intubation and administration of first dose of adrenaline | 10 min |
| Timing of the fifth HR communication | 5 min |
Countries
Italy
Outcome results
None listed