Applied Forces During Neonatal Face Mask Ventilation With Different Face-mask Air Cushion
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University Hospital Padova
- Enrollment
- 28
- Locations
- 1
- Primary Endpoint
- Applied forces on the manikin face
Overview
Brief Summary
Positive pressure ventilation (PPV) is the most important intervention in neonatal resuscitation. During PPV, it is important to hold the face-mask with care, as applying excessive pressure could cause injury to the infant, while insufficient pressure could be a contributor of mask leak and reduced effective ventilation. Application of positive pressure to face structures may trigger a vagally mediated reflex via the trigeminal nerve that innervates the skin of the face leading to apnoea and a decrease in heart rate (TCR, trigeminal-cardiac reflex).
In neonatal manikins, ventilation with a partially or fully inflated face mask does not seem to result in differences in mask leak. The force exerted by providers to improve mask seal might result in pressure lesions and in the elicitation of the trigeminal-cardiac reflex. However, information about the applied forces is unknown.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Crossover
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 25 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Level III NICU consultants and pediatric residents
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Applied forces on the manikin face
Time Frame: 1 minute
The forces applied by the participants to the manikin face will be measured by sensors positioned on the manikin face
Secondary Outcomes
- Cuff pressure(1 minute)
- Percentage of ventilation time with leak less than 25% around the mask(1 minute)
Investigators
Daniele Trevisanuto
Associate Professor
University Hospital Padova