Asphyxia, Newborn Morbidity, Resuscitation
Conditions
Brief summary
Positive pressure ventilation (PPV) is the most important intervention in neonatal resuscitation. During PPV, it is important to hold the face-mask with care, as applying excessive pressure could cause injury to the infant, while insufficient pressure could be a contributor of mask leak and reduced effective ventilation. Application of positive pressure to face structures may trigger a vagally mediated reflex via the trigeminal nerve that innervates the skin of the face leading to apnoea and a decrease in heart rate (TCR, trigeminal-cardiac reflex). The force exerted by providers during neonatal ventilation to improve mask seal might result in pressure lesions and the elicitation of the trigeminal-cardiac reflex. The height of the resuscitation could influence the forces applied to the face and the quality of the procedure. Information about the applied forces in relation to the height of the resuscitation table is unknown.
Interventions
OTHERHigh resuscitation table
Participants will be invited to administer face-mask ventilation setting the table height to the operator's xiphoid process in a neonatal manikin.
OTHERLow resuscitation table
Participants will be invited to administer face-mask ventilation setting the table height to the operator's superior anterior iliac spines in a neonatal manikin.
Sponsors
University Hospital Padova
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
25 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Level III neonatal intensive neonatal care unit consultants and pediatric residents
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Applied forces on the manikin face | 1 minute after initiation of ventilation | The forces applied by the participants to the manikin face will be measured by sensors positioned on the manikin face |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cuff pressure | 1 minute after initiation of ventilation | The pressure inside the mask will be measured during the procedure |
| Percentage of ventilation time with leak less than 25% around the mask | 1 minute after initiation of ventilation | The mask leak will be measured by using a respiratory function monitoring during the procedure |
Other
| Measure | Time frame | Description |
|---|---|---|
| Participants' opinion on the procedures | 5 minutes after the end of the procedure | Participants will be asked to rate both procedures by using a Likert scale |
Countries
Italy
Outcome results
None listed