Implementation of a brief training programme to reduce mask leak with a respiratory function monitor
Respiratory function monitors (RFMs) can provide real-time data including expiratory tidal volumes and interface leak during delivery room (DR) neonatal resuscitation. However, concerns have been raised within previous randomised controlled trials and systematic reviews that effectuating RFMs routin...
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| Language: | English |
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BMJ Publishing Group
2025-08-01
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| Series: | BMJ Paediatrics Open |
| Online Access: | https://bmjpaedsopen.bmj.com/content/9/1/e003589.full |
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| author | Neaha Patel Burak Salgin Ludovic Chassin |
| author_facet | Neaha Patel Burak Salgin Ludovic Chassin |
| author_sort | Neaha Patel |
| collection | DOAJ |
| description | Respiratory function monitors (RFMs) can provide real-time data including expiratory tidal volumes and interface leak during delivery room (DR) neonatal resuscitation. However, concerns have been raised within previous randomised controlled trials and systematic reviews that effectuating RFMs routinely for DR resuscitation is limited by lack of comprehensive staff training. The International Liaison Committee on Resuscitation have also recently declared a knowledge gap in terms of the training required to be competent in utilising an RFM during neonatal resuscitation. We conducted an experiment with thirteen medical students who had no prior resuscitation experience to see if visual feedback from an RFM could improve mask leak when ventilating an extremely preterm manikin. Following a brief training session with hands-on practice, 260 breaths were analysed and median mask leak improved from 45% (IQR 25-62%) during the first breath to 0% (IQR 0-1%) by the twentieth and final breath. The median expiratory tidal volume was 3.6 mL (IQR 3.4-3.8 mL) and remained stable. This manikin experiment has demonstrated that even a short and experiential training session with an RFM for participants with no prior resuscitation training can be effective in reducing mask leak. |
| format | Article |
| id | doaj-art-7f65cf24c0e14fd983d9bea23e56c9b7 |
| institution | Kabale University |
| issn | 2399-9772 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Paediatrics Open |
| spelling | doaj-art-7f65cf24c0e14fd983d9bea23e56c9b72025-08-20T03:30:13ZengBMJ Publishing GroupBMJ Paediatrics Open2399-97722025-08-019110.1136/bmjpo-2025-003589Implementation of a brief training programme to reduce mask leak with a respiratory function monitorNeaha Patel0Burak Salgin1Ludovic Chassin21 Neonatal Intensive Care Unit (NICU) and London Neonatal Transfer Service (NTS), Royal London Hospital, Barts Health NHS Trust, London, UK1 Neonatal Intensive Care Unit (NICU) and London Neonatal Transfer Service (NTS), Royal London Hospital, Barts Health NHS Trust, London, UK1 Neonatal Intensive Care Unit (NICU) and London Neonatal Transfer Service (NTS), Royal London Hospital, Barts Health NHS Trust, London, UKRespiratory function monitors (RFMs) can provide real-time data including expiratory tidal volumes and interface leak during delivery room (DR) neonatal resuscitation. However, concerns have been raised within previous randomised controlled trials and systematic reviews that effectuating RFMs routinely for DR resuscitation is limited by lack of comprehensive staff training. The International Liaison Committee on Resuscitation have also recently declared a knowledge gap in terms of the training required to be competent in utilising an RFM during neonatal resuscitation. We conducted an experiment with thirteen medical students who had no prior resuscitation experience to see if visual feedback from an RFM could improve mask leak when ventilating an extremely preterm manikin. Following a brief training session with hands-on practice, 260 breaths were analysed and median mask leak improved from 45% (IQR 25-62%) during the first breath to 0% (IQR 0-1%) by the twentieth and final breath. The median expiratory tidal volume was 3.6 mL (IQR 3.4-3.8 mL) and remained stable. This manikin experiment has demonstrated that even a short and experiential training session with an RFM for participants with no prior resuscitation training can be effective in reducing mask leak.https://bmjpaedsopen.bmj.com/content/9/1/e003589.full |
| spellingShingle | Neaha Patel Burak Salgin Ludovic Chassin Implementation of a brief training programme to reduce mask leak with a respiratory function monitor BMJ Paediatrics Open |
| title | Implementation of a brief training programme to reduce mask leak with a respiratory function monitor |
| title_full | Implementation of a brief training programme to reduce mask leak with a respiratory function monitor |
| title_fullStr | Implementation of a brief training programme to reduce mask leak with a respiratory function monitor |
| title_full_unstemmed | Implementation of a brief training programme to reduce mask leak with a respiratory function monitor |
| title_short | Implementation of a brief training programme to reduce mask leak with a respiratory function monitor |
| title_sort | implementation of a brief training programme to reduce mask leak with a respiratory function monitor |
| url | https://bmjpaedsopen.bmj.com/content/9/1/e003589.full |
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