Comparison of training in neonatal resuscitation using self inflating bag and T-piece resuscitator

Abstract

a b s t r a c tBackground: Both the self inflating bag and the T-piece resuscitator are recommended for neonatal resuscitation, but many health care workers are unfamiliar with using the latter.A prospective, comparative, observational study was done to determine the ease and effectiveness of training of health care personnel in the two devices using infant training manikins.Methods: 100 health care workers, who had no prior formal training in neonatal resuscitation, were divided into small groups and trained in the use of the two devices by qualified trainers. Assessment of cognitive skills was done by pre and post MCQs. Psychomotor skill was assessed post training on manikins using a 10-point objective score. Acceptance by users was ascertained by questionnaire. Assessments were also done after 24 h and 3 months. Comparison was done by Chi square and paired t-tests.Results: Pre-training cognitive tests increased from 3.77 (þ1.58) to 6.99 (þ1.28) on day of training which was significant. Post training assessment of psychomotor skills showed significantly higher initial scores for the T-piece group (7.07 þ 2.57) on day of training.Reassessment after 24 h showed significant improvement in cognitive scores (9.89 þ 1.24) and psychomotor scores in both groups (8.86 þ 1.42 for self inflating bag and 9.70 þ 0.57 for T-piece resuscitator). After 3e6 months the scores in both domains showed some decline which was not statistically significant. User acceptability was the same for both devices. Conclusion:It is equally easy to train health care workers in both devices. Both groups showed good short term recall and both devices were equally acceptable to the users.

Simulation in Neonatal Resuscitation

“…Understanding the device and its potential adverse effects or limitations is critical. Mathai et al compared set up times and effectiveness of the T piece and the self-inflating bag, and found that whilst the Neopuff took longer to set up, it was more effective in delivering adequate pressures (22,23).…”

Dispositivi manuali o meccanici per la ventilazione nella rianimazione neonatale: una revisione narrativa

“…In uno studio si evince che l'utilizzo di questo dispositivo per la rianimazione neonatale ha diminuito di 2/3 la mortalità e la morbilità dei neonati [13] . Per quanto riguarda la variabile legata al fattore umano, tutti e quattro gli studi che trattano questo argomento mostrano che i diversi profili professionali, infermiere e medico, nonostante evidenzino delle differenze in termini di numeri, sono parimenti efficaci [16] , essendo i volumi insufflati e la pressione di insufflazione perfettamente nei valori di riferimento [14] . Inoltre, si è studiato che la compressione del pallone non differisce affatto se vengono utilizzate 3 o 5 dita della mano o la mano completa [15] .…”

“…L'inquadramento professionale ha evidenziato differenze sostanziali tra i diversi operatori. I fisioterapisti erogano volumi e pressioni più precise in confronto ai medici ed infermieri che a confronto si equivalgono [16] . Questa differenza si basa sul tipo di istruzione ed allenamento dell'operatore, in quanto l'istruzione dei fisioterapisti sembrerebbe essere più efficiente in confronto agli altri.…”