Summary of Publications – Training
Making Every Second Count During the Golden Minute
Globally, it is estimated that approximately 10% of all newborns do not breathe on their own or respond to the initial steps of stimulation after birth. A reduction in infant mortality can be achieved through immediate newborn assessment and resuscitation.
Newborn healthcare providers must be well-trained and skilled to initiate the delivery of adequate and effective positive pressure ventilation (PPV) during this transition period to ensure newborn survival and reduce long-term morbidity. Regular “low-dose, high-frequency” training with a respiratory function monitor (RFM) has been shown to improve effectiveness, preparedness as well as retention of manual ventilation skills. Knowledge, confidence and skills have been shown to be significantly increased in those that have regular simulation training than those that have not.
Here you will find Summary of Publications related to simulation training and usage of RFMs.
Summary of Publications
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Real-Time Intubation and Ventilation Feedback: A Randomized Controlled Simulation Study
In a randomized controlled simulation-based trial at Medical University of Vienna a total of 167 medical students executed ventilation and intubation maneuvers on a newborn manikin. The study aimed to determine the best educational application of a respiratory function monitor (RFM) and a video laryngoscope (VL).
2023 - Pediatrics
Dvorsky R et al
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Respiratory monitors to teach newborn facemask ventilation: a randomized trial
Newborn facemask ventilation is a difficult skill to master and must be performed accurately, with risks of harm from both underventilation and overventilation. Facemask leak of 30-54% have been reported and operators are frequently unaware of the problem. Furthermore, when learning and performing facemask ventilation, operators often lack objective methods to assess and improve their technique.
2018 - Arch Dis Child Fetal Neonatal Ed
O'Currain E et al
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Simulation in Neonatal Resuscitation
The use of RFM during simulated neonatal resuscitation is a useful tool to provide quantitative and qualitative assessment of the trainee’s resuscitation technique, identifying correct mask hold and positioning technique.
2020 - Frontiers in Pediatrics
Garvey A A, Dempsey E M
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Two-Minute Training for Improving Neonatal Bag and Mask Ventilation
Adequate PPV is the cornerstone for effective neonatal resuscitation. However, achieving effective manual ventilation can be difficult because most clinicians are not aware when mask leak or airway obstruction occurs or when excessive peak inflation pressures (PIP) are delivered (above 35 cm H2O).
2014 - PLoS ONE
Vonderen JJ et al
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Balancing Life and Death During the Golden Minute – Midwives’ Experiences of Performing Newborn Resuscitation
Globally, midwives on maternity wards experience non-breathing newborns every day. A reduction in infant mortality can be achieved through immediate newborn assessment and resuscitation.
2020 - Journal of Multidisciplinary Healthcare
Ljungblad LW et al
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Effect of a positive pressure ventilation-refresher program on ventilation skill performance during simulated newborn resuscitation
Newborn healthcare providers must be well-trained and skilled to initiate the delivery of adequate and effective positive pressure ventilation (PPV) to ensure newborn survival and reduce long-term morbidity. Expert consesus recommends resuscitation psychomotor skill training and validation at regular time intervals in order to improve performance and mitigate recognized barriers.
2021 - Resuscitation Plus 5
Dana E. Niles et al
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Use of Respiratory Function Monitors during Simulated Neonatal Resuscitation
There is an international consensus statement as well as regional and national guidelines that provide advice on techniques and equipment used for neonatal resuscitation. Need for ventilation and evaluation of effectiveness should be done by clinical assessment of increase in the infants’ heart rate and chest wall rise. However, studies have shown that assessment of face mask seal, tidal volume delivery and chest wall rise is limited and subjective.
2011 - Klin Padiatr
Schmölzer G M, Roehr C. C
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Training practices in neonatal and paediatric life support: A survey among healhtcare professionals working in paediatrics
Simulation-based training (SBT) is often employed to ensure adequate acquisition and retention of resuscitative skills. Guidelines for neonatal life support (NLS), paediatric basic life support (PBLS), and paediatric advanced life support (PALS) are issued by the European Resuscitation Council (ERC). However, neonatal and paediatric life support training varies among hospitals, institutions and countries.
2021 - Resuscitation Plus
Binkhorst M et al