Objective To assess whether end-tidal capnography (EtCO 2 ) monitoring reduced the magnitude of difference in carbon dioxide (CO 2 ) levels and the number of blood gases in ventilated infants. Study design A case–control study of a prospective cohort ( n = 36) with capnography monitoring and matched historical controls ( n = 36). Result The infants had a median gestational age of 31.6 weeks. A reduction in the highest CO 2 level on day 1 after birth was observed after the introduction of EtCO 2 monitoring ( p = 0.043). There was also a reduction in the magnitude of difference in CO 2 levels on days 1 ( p = 0.002) and 4 ( p = 0.049) after birth. There was no significant difference in the number of blood gases. Conclusion Continuous end-tidal capnography monitoring in ventilated infants was associated with a reduction in the degree of the magnitude of difference in CO 2 levels and highest level of CO 2 on the first day after birth.

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Methods We created a working group with the postgraduate clinical tutor, the postgraduate team and doctors interested in supporting the well being of trainees to brainstorm ideas on location and necessary provisions.An appropriate space that was easily accessible and centrally located was high on our priority list. Our central education centre contains many rooms which remained unused overnight which provided an ideal space to create our 'snooze' rooms.We used funding from our postgraduate budget to purchase essential items to create rest rooms that promoted rest and relaxation Results We have created 2 identical 'snooze' rooms for our trainees working the hospital at night rota. Each room contains a single sofa which can be pulled out to a single bed and easily wipeable to comply with infection control standards. Linen is provided and replaced by our domestics team daily. To promote a relaxing and restful atmosphere we included plants, a bedside lamp, lavender essence, hot drink facilities, phone chargers, blackout blinds and 'please do not disturb, doctor resting' door displays.Our rest rooms have been launched since Wednesday 3rd March 2021, and we will be seeking feedback from the trainees to assess their experience and see if further improvements for their well being can be made. Conclusions Despite the current COVID 19 pandemic, the well-being of our trainees remains paramount. Although space is limited, we have demonstrated that it is possible to adapt already used spaces to overnight rest facilities, even in a busy tertiary hospital. Using this model, we hope to work with our local Trainee Committee and School Board to develop rest facilities in each of our district general hospitals for our paediatric and neonatal departments.We also intend to appointment trainee well being representatives without our Trust to work on other well being projects like catering facilities and engagement with managers.