Resuscitation Table Height for Face-mask Ventilation in Infants
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).
The force exerted by providers during neonatal ventilation to improve mask seal might result in pressure lesions and the elicitation of the trigeminal-cardiac reflex. The height of the resuscitation could influence the forces applied to the face and the quality of the procedure. Information about the applied forces in relation to the height of the resuscitation table 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 neonatal intensive neonatal care unit consultants and pediatric residents
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Applied forces on the manikin face
Time Frame: 1 minute after initiation of ventilation
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 after initiation of ventilation)
- Percentage of ventilation time with leak less than 25% around the mask(1 minute after initiation of ventilation)
Investigators
Daniele Trevisanuto
Associate Professor
University Hospital Padova