| Mask leak in one-person mask ventilation compared to two-person in newborn infant manikin study. | |
| | |
MedLine Citation:
|
PMID: 21071683 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Aim To compare a new two-person method (four hands) of delivering mask ventilation with a standard one-person method using the Laerdal self-inflating bag (SIB) and the Neopuff (NP) infant resuscitator in a manikin model. Background Recent studies of simulated neonatal resuscitation using bag and mask ventilation techniques have shown facemask leak levels of 55-57% in expert hands. Methods 48 participants were randomly paired and instructed to give mask ventilation for a 2-min period as single-person resuscitators, then as two-person paired resuscitators at set pressures for NP and set parameters for SIB. Airway pressure, flow, inspiratory tidal volume, expiratory tidal volume and mask leak were recorded. Results A total of 21 578 inflations were recorded and analysed. For SIB, mask leak was greater (11.5%) with single-person compared to two-person (5.4%; mean difference 6.1%, 95% CI 1.5 to 10.7, p<0.01). For NP, mask leak was greater for single-person (22.2%) compared to two-person (9.1%; mean difference 13.1% 95% CI 3.6 to 22.6, p<0.01). For single-person mask ventilation, mask leak was greater with NP (22.2%) compared to SIB (11.5%; mean difference 10.7%, 95% CI 1.4 to 19.7, p<0.01). For two-person mask ventilation, mask leak was greater for NP (9.1%) compared to SIB (5.4%; mean difference 3.7%, 95% CI 0.1 to 6.4, p<0.05). Conclusions Two-person mask ventilation technique reduces mask leak by approximately 50% compared to the standard one-person mask ventilation method. NP mask ventilation has higher mask leak than Laerdal SIB for both single- and two-person technique mask ventilation. |
| | |
Authors:
|
M B Tracy; J Klimek; H Coughtrey; V Shingde; G Ponnampalam; M Hinder; R Maheshwari; S K Tracy |
Related Documents
:
|
16690973 - Regional pulmonary perfusion, inflation, and ventilation defects in bronchoconstricted ... 15721723 - Effect of inspiratory time on tidal volume delivery in anesthesia and intensive care un... 11168873 - Quantifying pulmonary hypertension in ventilated infants with bronchiolitis: a pilot st... |
Publication Detail:
|
Type: Journal Article Date: 2010-11-11 |
Journal Detail:
|
Title: Archives of disease in childhood. Fetal and neonatal edition Volume: 96 ISSN: 1468-2052 ISO Abbreviation: Arch. Dis. Child. Fetal Neonatal Ed. Publication Date: 2011 May |
Date Detail:
|
Created Date: 2011-04-14 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9501297 Medline TA: Arch Dis Child Fetal Neonatal Ed Country: England |
Other Details:
|
Languages: eng Pagination: F195-200 Citation Subset: AIM; IM |
Affiliation:
|
Nepean Neonatal Intensive Care Unit, Nepean Hospital, Derby Street Kingswood 2747, PO Box 63, Penrith 2751 Sydney, Australia; mark.tracy@ozemail.com.au. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Decreasing prevalence of oral cleft live births in the Netherlands, 1997-2006.
Next Document: Troponin T, N-terminal pro natriuretic peptide and a patent ductus arteriosus scoring system predict...