An instructional video enhanced bag-mask ventilation quality during simulated newborn resuscitation
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An instructional video enhanced bag-mask ventilation quality during simulated newborn resuscitation. / Deindl, Philipp; Schwindt, Jens; Berger, Angelika; Schmölzer, Georg M.
in: ACTA PAEDIATR, Jahrgang 104, Nr. 1, 01.2015, S. E20-E26.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - An instructional video enhanced bag-mask ventilation quality during simulated newborn resuscitation
AU - Deindl, Philipp
AU - Schwindt, Jens
AU - Berger, Angelika
AU - Schmölzer, Georg M
N1 - ©2014 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
PY - 2015/1
Y1 - 2015/1
N2 - AIM: Approximately 20% of newborns infants need respiratory support at birth. This study evaluated whether video-based education could improve quality of positive pressure ventilation (PPV) performed by inexperienced staff during neonatal resuscitation.METHODS: Fourth-year medical students were randomly paired and instructed to give PPV to a modified manikin as single-person resuscitators and as two-person-paired resuscitators using either an air cushion rim mask or a round mask before and after watching a self-instructional video. Airway pressure, gas flow, tidal volume and mask leak were recorded. PPV performance quality was analysed using video recording.RESULTS: Mask leak was lower during one-person ventilation when using the air cushion rim mask (56 ± 16%) compared to the round mask (71 ± 19%). Round mask leak during one-person ventilation was significantly lower when using the two point top hold in contrast to the 'o.k.' rim hold (before training: 63 ± 22% vs. 72 ± 18%, after training: 57 ± 17% vs. 77 ± 12%). Watching a self-instructional video improved performance quality scores of both correct head positioning, and the quality of airway manoeuvres compared to baseline, however mask leak was not significantly reduced.CONCLUSION: A self-instructional video significantly improved bag mask PPV performance in inexperienced providers but did not improve mask leak in a model of neonatal resuscitation.
AB - AIM: Approximately 20% of newborns infants need respiratory support at birth. This study evaluated whether video-based education could improve quality of positive pressure ventilation (PPV) performed by inexperienced staff during neonatal resuscitation.METHODS: Fourth-year medical students were randomly paired and instructed to give PPV to a modified manikin as single-person resuscitators and as two-person-paired resuscitators using either an air cushion rim mask or a round mask before and after watching a self-instructional video. Airway pressure, gas flow, tidal volume and mask leak were recorded. PPV performance quality was analysed using video recording.RESULTS: Mask leak was lower during one-person ventilation when using the air cushion rim mask (56 ± 16%) compared to the round mask (71 ± 19%). Round mask leak during one-person ventilation was significantly lower when using the two point top hold in contrast to the 'o.k.' rim hold (before training: 63 ± 22% vs. 72 ± 18%, after training: 57 ± 17% vs. 77 ± 12%). Watching a self-instructional video improved performance quality scores of both correct head positioning, and the quality of airway manoeuvres compared to baseline, however mask leak was not significantly reduced.CONCLUSION: A self-instructional video significantly improved bag mask PPV performance in inexperienced providers but did not improve mask leak in a model of neonatal resuscitation.
U2 - 10.1111/apa.12826
DO - 10.1111/apa.12826
M3 - SCORING: Journal article
C2 - 25308155
VL - 104
SP - E20-E26
JO - ACTA PAEDIATR
JF - ACTA PAEDIATR
SN - 0803-5253
IS - 1
ER -
