An instructional video enhanced bag-mask ventilation quality during simulated newborn resuscitation

Deindl, Philipp; Schwindt, Jens; Berger, Angelika; Schmölzer, Georg M.

doi:10.1111/apa.12826

Cited by 12 publications

(4 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It is an attractive instructional method, for it combines the advantages of observational learning and audiovisual support, it always shows a perfect demonstration, and it could be more cost-effective and less time-consuming than conventional teaching. Several studies found promising results for VBI, including improved practical skills and increased self-confidence [7][8][9][10]. However, the majority of these studies used an instructional video as part of a self-directed learning approach instead of an in-hospital course [11,12].…”

Section: Introductionmentioning

confidence: 99%

Adherence to the ABCDE approach in relation to the method of instruction: a randomized controlled simulation study

Linders¹,

Binkhorst²,

Draaisma³

et al. 2021

BMC Emerg Med

View full text Add to dashboard Cite

Background The Airway, Breathing, Circulation, Disability, and Exposure (ABCDE) approach is widely recommended and taught in many resuscitation courses. This study assessed the adherence to the ABCDE algorithm and whether this was affected by the instruction method used to teach this approach. Methods Randomized controlled trial in which simulation was used as investigational method. Between June 2017 and January 2018, neonatal healthcare providers routinely participated in simulated neonatal advanced life support (NALS) scenarios, using a high-fidelity manikin. They were randomly assigned to a video-based instruction (intervention group) or a conventional lecture (control group) as the method of instruction. One blinded researcher evaluated the adherence to the ABCDE approach on video with an assessment tool specifically designed and tested for this study. The primary outcomes were: 1) the overall adherence and 2) the between-group difference in individual adherence to the ABCDE approach, both expressed as a percentage score. Secondary outcomes were: 1) the scores of each profession category (nurses, neonatal ward clinicians, fellows/neonatologists) and 2) the scores for the separate domains (A, B, C, D, and E) of the algorithm. Results Seventy-two participants were assessed. Overall mean (SD) percentage score (i.e. overall adherence) was 31.5% (19.0). The video-based instruction group (28 participants) adhered better to the ABCDE approach than the lecture group (44 participants), with mean (SD) scores of 38.8% (18.7) and 27.8% (18.2), respectively (p = 0.026). The difference in adherence between both groups could mainly be attributed to differences in the adherence to domain B (p = 0.023) and C (p = 0.007). Neonatal ward clinicians (39.9% (18.2)) showed better adherence than nurses (25.0% (15.2)), independent of the study group (p = 0.010). Conclusions Overall adherence to the ABCDE algorithm was rather low. Video-based instruction resulted in better adherence to the ABCDE approach during NALS training than lecturing. Trial registration ISRCTN registry, trial ID ISRCTN95998973, retrospectively registered on October 13th, 2020.

show abstract

Section: Introductionmentioning

confidence: 99%

Adherence to the ABCDE approach in relation to the method of instruction: a randomized controlled simulation study

Linders¹,

Binkhorst²,

Draaisma³

et al. 2021

BMC Emerg Med

View full text Add to dashboard Cite

show abstract

“…Basic neonatal resuscitation requires that providers recognize when to initiate and stop PPV and additionally have the skills needed to provide these procedures effectively. Although many educational videos have been developed and used to teach these skills, no research has compared the efficacy of using these videos alone with their use in combination with an in-person instructor [ 22 , 28 ].…”

Section: Discussionmentioning

confidence: 99%

Self-directed video versus instructor-based neonatal resuscitation training: a randomized controlled blinded non-inferiority multicenter international study

Szyld

Aguilar²,

Lloret

et al. 2021

J Perinatol

View full text Add to dashboard Cite

Objective To compare the efficacy of video-assisted self-directed neonatal resuscitation skills course with video-assisted facilitator-led course. Methods This multicenter, randomized, blinded, non-inferiority-controlled trial compared two methods of teaching basic neonatal resuscitation skills using mask ventilation. Groups of novice providers watched an instructional video. One group received instructor facilitation (Ins-Video). The other group did not (Self-Video). An Objective Structured Clinical Exam (OSCE) measured skills performance, and a written test gauged knowledge. Results One hundred and thirty-four students completed the study. Sixty-three of 68 in the Self-Video Group (92.6%) and 59 of 66 in the Ins-Video Group (89.4%) achieved post-training competency in positive pressure ventilation (primary outcome). OSCE passing rates were low in both groups. Knowledge survey scores were comparable between groups and non-inferior. Conclusions Video self-instruction taught novice providers positive pressure ventilation skills and theoretical knowledge, but it was insufficient for mastery of basic neonatal resuscitation in simulation environment.

show abstract

“…Studies have shown that video instruction prior to standard mask ventilation in novice operators improves performance. Diendl et al demonstrated that a self-instructional video significantly improved BMV performance in inexperienced providers using a neonatal airway simulator [7]. While video instruction on proper mask techniques for both the standard and Tao face masks may be an effective way to improve initial performance, there is likely also a component of self adjustment that occurs during the second mask attempt that explains improved performance during the second mask trial.…”

Section: Discussionmentioning

confidence: 99%

Advantages of the New Tao Mask for Bag Mask Ventilation: a randomized crossover trial

Tobin

Szabó

Wolf

et al. 2018

Rom J Anaesth Int Care

View full text Add to dashboard Cite

Background and Aims: Manual bag mask ventilation is a life saving skill. An investigation was made to compare two different facemasks used in bag mask ventilation, the standard and the novel Tao face mask, and evaluate the ability of novices to achieve adequate tidal volume.Methods: The study design was a crossover trial, which randomized forty medical students with no previous airway experience to learn bag mask ventilation with the standard mask and the Tao face mask. Primary outcome measures were mean and median tidal volume per mask, and secondary measures were hand area, age, gender, and order of mask usage.Results: Medical students who used the Tao mask first achieved significantly more tidal volume than those who used the standard mask first (p = 0.002). However, when comparing face masks that were used second, the tidal volume did not differ significantly between the two masks (p = 1.000). Greater tidal volume was achieved on the second attempt relative to the first attempt with each mask. There was significantly more tidal volume achieved with greater hand size with the standard mask, whether it was used first or second (p < 0.001 and p = 0.012 respectively). Greater hand size was associated with greater tidal volume in the Tao mask also, but only when used first (p < 0.001). When first attempting bag mask ventilation, inexperienced students achieved greater tidal volume with the Tao Mask. The results also suggest that hand size matters less when using the Tao Mask.Conclusion: When first attempting bag mask ventilation inexperienced students achieved greater tidal volume with the Tao Mask. The results also suggest that hand size matters less when using the Tao mask.

show abstract

An instructional video enhanced bag-mask ventilation quality during simulated newborn resuscitation

Abstract: 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.

Cited by 12 publications

References 30 publications

Adherence to the ABCDE approach in relation to the method of instruction: a randomized controlled simulation study

Adherence to the ABCDE approach in relation to the method of instruction: a randomized controlled simulation study

Self-directed video versus instructor-based neonatal resuscitation training: a randomized controlled blinded non-inferiority multicenter international study

Advantages of the New Tao Mask for Bag Mask Ventilation: a randomized crossover trial

Contact Info

Product

Resources

About