Neonates Needing Resuscitation at Birth
Conditions
Brief summary
There has been an increasing number of SARS-CoV-2 infections in pregnant women and neonates. Interventions including open airway suctioning, positive pressure ventilation, non-invasive respiratory support, tracheal intubation, and endotracheal drug administration are aerosol-generating medical procedures and may create a risk to the unprotected healthcare providers. The impact of using personal protective equipment during neonatal resuscitation maneuvers is unknown. The objective of this study will be to compare the beginning of PPV and the duration of intubation between performing resuscitation with PPE for the prevention of SARS-Cov-2 infection and resuscitation without PPE for the prevention of SARS-Cov-2 infection.
Interventions
The team will perform neonatal resuscitation with PPE for the prevention of SARS-Cov-2 infection
The team will perform neonatal resuscitation without PPE for the prevention of SARS-Cov-2 infection
Sponsors
Study design
Masking description
The statistician performing data analysis will be masked to treatment allocation.
Eligibility
Inclusion criteria
* Level III neonatal intensive care unit consultants, pediatric residents, and nurses. Participants will be divided into teams including a consultant and a nurse or a resident and a nurse during the simulation.
Exclusion criteria
* There are no
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Initiation of positive pressure ventilation | 5 minutes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of intubation procedure | 5 minutes | — |
| Correct use of personal protective equipment | 20 minutes | — |
| Participant's opinion on discomfort using personal protective equipment | 20 minutes | Level of discomfort in performing the procedures: 0 (no discomfort), 1 (low discomfort) ,2 (high discomfort) |
| Time of initiation of chest compressions | 20 minutes | — |
Countries
Italy