Devices used for stabilisation of newborn infants at birth

Roehr, Charles Christoph; O’Shea, Joyce E; Dawson, Jennifer A; Wyllie, Jonathan

doi:10.1136/archdischild-2016-310797

Cited by 14 publications

(11 citation statements)

References 51 publications

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“…However, despite the limitations of simulation there is emerging evidence that simulation assessment of emergency clinical skills has a high validity, that is, learner’s performance in simulation is reflective of their performance in clinical practice 21. While measurement of leak and tidal volume help gauge the effectiveness of ventilation, an understanding of newborn transition and physiology are equally important 4 22. The geographical spread of our participants (up to 3668 km from the trial coordination site) meant we could not undertake clinical follow-up or repeat testing.…”

Section: Discussionmentioning

confidence: 99%

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Respiratory monitors to teach newborn facemask ventilation: a randomised trial

O’Curráin

Thió

Dawson

et al. 2019

Arch Dis Child Fetal Neonatal Ed

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ObjectiveThe International Liaison Committee on Resuscitation has found that there is a need for high-quality randomised trials of training interventions that improve the effectiveness of resuscitation skills. The objective of this study was to determine whether using a respiratory function monitor (RFM) during mask ventilation training with a manikin reduces facemask leak.DesignStratified, parallel-group, randomised controlled trial. Outcome assessors were blinded to group allocation.SettingThirteen hospitals in Australia, including non-tertiary sites.ParticipantsConsecutive sample of healthcare professionals attending a structured newborn resuscitation training course.InterventionsAn RFM providing real-time, objective, leak, flow and volume information was attached to the facemask during 1.5 hours of newborn ventilation and simulation training using a manikin. Participants were randomised to have the RFM display visible (intervention) or masked (control), using a computer-generated randomisation sequence.Main outcome measuresThe primary outcome was facemask leak measured after neonatal facemask ventilation training. Tidal volume was an important secondary outcome measure.ResultsParticipants were recruited from May 2016 to November 2017. Of 402 eligible participants, two refused consent. Four hundred were randomised, 200 to each group, of whom 194 in each group underwent analysis. The median (IQR) facemask leak was 23% (8%–41%) in the RFM visible group compared with 35% (14%–67%) in the masked group, p<0.0001, difference (95% CI) in medians 12 (4 to 22).ConclusionsThe display of information from an RFM improved the effectiveness of newborn facemask ventilation training.Trial registration numberACTRN12616000542493, pre-results.

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Section: Discussionmentioning

confidence: 99%

“…Newborn resuscitation offers an opportunity to save many lives 3. To be effective it must be rapidly administered by healthcare staff with sufficient training 4. Facemask ventilation skills have been found to be poor even after training, indicating that current teaching methods are inadequate 5.…”

Section: Introductionmentioning

confidence: 99%

Respiratory monitors to teach newborn facemask ventilation: a randomised trial

O’Curráin

Thió

Dawson

et al. 2019

Arch Dis Child Fetal Neonatal Ed

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“…The ideal range for newborn body temperature is not unequivocally defined, but there is consensus on a target range between 36.5°C and 37.5° [4,5].…”

Section: Introductionmentioning

confidence: 99%

Body temperature at nursery admission in a cohort of healthy newborn infants: results from an observational cross-sectional study

et al. 2020

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Background: Exposure to hypothermia is somehow unavoidable when a baby comes to life. This is the reason why any possible effort should be made by every caregiver involved during birth, from labour to transfer into the maternity ward, to reduce it. Hypothermia has widely shown to be related to several neonatal problems, and the risks are more relevant when the babies are born prematurely. Method: An observational study was conducted in April 2016 to assess the current practises to avoid hypothermia at birth in 20 Italian neonatal units. Each unit introduced local improvements in clinical practice and the same observational study was repeated 1 year later. Results: A total of 4722 babies were analysed. An overall increase in adherence to local and international recommendations emerged from our study. Significant differences between 2016 and 2017 were found in regard to neonatal temperature at nursery entry (36.3°C vs 36.5°C, respectively, p < 0.0001), delayed cord clamping practice > 60″ (48.1% vs 68.1%, respectively, p < 0.0001) and skin-to-skin practice > 60′ (56.3% vs 60.9, respectively, p = 0.03). Statistical correlations with the risk of hypothermia were found for delivery room (OR 0.88 (CI 95%0.83-0.94), p < 0.0001) and maternal temperature (OR 0.57 (CI 95% 0.48-0.67), p < 0.0001). Conclusion: Periodical assessment of the delivery room practice has shown to be effective in improving adherence to the international recommendations. Relationship between neonatal hypothermia and several other variables including the delivery room and mother temperature underlines how neonatal thermoregulation starts immediately after birth. Hence, a multidisciplinary approach is needed to provide the optimal environment for a safe birth.

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“…Despite this recommendation, T-piece resuscitators have increasingly become the standard for delivery room resuscitation in high-income countries and in some middle-income ones 4 8 9. Their advantages, as summarised by Roehr et al ,8 are presumed due to continuous patient-directed gas flow, and include steady delivery of a set peak inspiratory pressure (PIP) and PEEP.…”

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confidence: 99%