Document Detail

Preferences and practices: use of neonatal resuscitation devices in low-resource settings.
MedLine Citation:
PMID:  17984126     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Birth asphyxia, when a baby does not breathe at birth, is estimated to account for 23% of the approximately four million neonatal deaths that occur annually. Correct use of neonatal resuscitators is critical to lower neonatal mortality rates due to birth asphyxia. METHODS: In order to understand the context of use of resuscitators including use scenarios, training, device readiness and design features and preferences, PATH conducted an anonymous web-based survey among neonatal health experts. Twenty-eight percent (22/80) of experts completed the survey. RESULTS: In general, the bag and mask devices were used by more practitioners and in more places than the tube and mask design; the tube and mask device was not well known. Features of the bag and mask device that mattered most were ease of use, mask size and device function. Features of the tube and mask device that mattered most were ease of use and availability. Device readiness at delivery and use of devices after long periods of inactivity were also concerns. CONCLUSIONS: There was a clear preference for the bag and mask device over the tube and mask device due to its ease of use. Programmatic implications include the need to improve health workers' confidence in the ability of the device to be cleaned and to remain in safe working order over time. These issues should be reviewed during periodic refresher training courses.
P S Coffey; K Kelly; V Tsu
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2007-11-04
Journal Detail:
Title:  Journal of tropical pediatrics     Volume:  53     ISSN:  0142-6338     ISO Abbreviation:  J. Trop. Pediatr.     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-12-25     Completed Date:  2008-03-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8010948     Medline TA:  J Trop Pediatr     Country:  England    
Other Details:
Languages:  eng     Pagination:  415-9     Citation Subset:  IM    
PATH, Seattle, WA 98107, USA.
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MeSH Terms
Asphyxia Neonatorum / therapy*
Cardiopulmonary Resuscitation / economics,  instrumentation*
Cost Control
Developing Countries
Infant, Newborn
Neonatal Nursing
Physician's Practice Patterns*
Respiration, Artificial / economics,  instrumentation*

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