Pilot manikin study showed that a supraglottic airway device improved simulated neonatal ventilation in a low‐resource setting

Abstract

AimWe compared the performance of personnel in a low‐resource setting when they used the I‐gel cuffless neonatal laryngeal mask or a face mask on a neonatal airway management manikin.MethodsAt Mulago Hospital, Uganda, 25 doctors, nurses and midwives involved in neonatal resuscitation were given brief training with the I‐gel and face mask. Then, every participant was observed positioning both devices on three consecutive occasions. The success rate and insertion times leading to effective positive pressure ventilation (PPV) were recorded. Participants rated the perceived efficiency of the devices using a five‐point Likert scale.ResultsThe I‐gel achieved a 100% success rate on all three occasions, but the face mask was significantly less effective in achieving effective PPV and the failure rates at the first, second and third attempts were 28%, 8% and 20%, respectively. The perceived efficiency of the devices was significantly superior for the I‐gel (4.7 ± 0.4) than the face mask (3.3 ± 0.8).ConclusionThe I‐gel was more effective than the face mask in establishing PPV in the manikin, and user satisfaction was higher. These encouraging manikin data could be a stepping stone for clinical research on the use of the I‐gel for neonatal resuscitation in low‐resource settings.

Accurate and fast neonatal heart rate assessment with a smartphone‐based application – a manikin study

“…Sachs’ Children and Youth Hospital, Stockholm, Sweden, approved the study. Further ethical approval was not considered necessary for this study as it focused on the accuracy and speed of the method and not on comparing performance between individual participants or groups of participants, similar to a previously published manikin study . The participants gave oral consent to participate and could decline participation at any time during the study.…”

Neonatal resuscitation using a laryngeal mask airway: a randomised trial in Uganda

“… 17 All these characteristics make the cuffless LMA a potentially useful alternative to FM and endotracheal intubation, especially in settings where the staff skills in performing PPV are insufficient. 15 In a previous manikin study conducted in a low-resource setting, we found that the LMA was more effective than FM in establishing PPV, 18 but there are no published randomised trials comparing the LMA with the FM during neonatal resuscitation.…”

Neonatal resuscitation using a supraglottic airway device for improved mortality and morbidity outcomes in a low-income country: study protocol for a randomized trial

“…The training module for supraglottic airway use can easily be integrated to current neonatal resuscitation programs [33]. The cost-effectiveness of a supraglottic airway in a low-resource setting needs to be assessed.…”

“…A manikin study in Uganda demonstrated that midwives could easily insert a cuffless supraglottic airway after brief on-the-job training: the i-gel ® was also more effective than FM in establishing PPV in the manikin. In 2015, a phase II randomized controlled trial (RCT) on the same site demonstrated that midwives could effectively and safely perform resuscitation in neonates with the i-gel ® [32, 33].…”