Provider visual attention on a respiratory function monitor during neonatal resuscitation

BackgroundA respiratory function monitor (RFM) provides real-time positive pressure ventilation feedback. Whether providers use RFM during neonatal resuscitation is unknown.MethodsAncillary study to the MONITOR(NCT03256578) randomised controlled trial. Neonatal resuscitation leaders at two centres wore eye-tracking glasses, and visual attention (VA) patterns were compared between RFM-visible and RFM-masked groups.Results14 resuscitations (6 RFM-visible, 8 RFM-masked) were analysed. The median total gaze duration on the RFM was significantly higher with a visible RFM (29% vs 1%, p<0.01), while median total gaze duration on other physical objects was significantly lower with a visible RFM (3% vs 8%, p=0.02). Median total gaze duration on the infant was lower with RFM visible, although not statistically significantly (29% vs 46%, p=0.05).ConclusionProviders’ VA patterns differed during neonatal resuscitation when the RFM was visible, emphasising the importance of studying the impact of additional delivery room technology on providers’ behaviour.

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Faculty Opinions recommendation of Nasal continuous positive airway pressure versus nasal intermittent positive-pressure ventilation within the minimally invasive surfactant therapy approach in preterm infants: a randomised controlled trial.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.725933012.793530834 ◽

2017 ◽

Author(s):

Vineet Bhandari

Keyword(s):

Continuous Positive Airway Pressure ◽

Randomised Controlled Trial ◽

Minimally Invasive ◽

Airway Pressure ◽

Positive Pressure Ventilation ◽

Positive Airway Pressure ◽

Controlled Trial ◽

Intermittent Positive Pressure Ventilation ◽

Positive Pressure ◽

Randomised Controlled

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Nasal continuous positive airway pressure versus nasal intermittent positive-pressure ventilation within the minimally invasive surfactant therapy approach in preterm infants: a randomised controlled trial

Archives of Disease in Childhood - Fetal and Neonatal Edition ◽

10.1136/archdischild-2015-308204 ◽

2015 ◽

Vol 101 (4) ◽

pp. F323-F328 ◽

Cited By ~ 28

Author(s):

Mehmet Yekta Oncel ◽

Sema Arayici ◽

Nurdan Uras ◽

Evrim Alyamac-Dizdar ◽

Fatma Nur Sari ◽

...

Keyword(s):

Continuous Positive Airway Pressure ◽

Randomised Controlled Trial ◽

Minimally Invasive ◽

Airway Pressure ◽

Positive Pressure Ventilation ◽

Positive Airway Pressure ◽

Controlled Trial ◽

Intermittent Positive Pressure Ventilation ◽

Positive Pressure ◽

Randomised Controlled

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Randomised controlled trial of two methods of weaning from high frequency positive pressure ventilation.

Archives of Disease in Childhood ◽

10.1136/adc.64.6.834 ◽

1989 ◽

Vol 64 (6) ◽

pp. 834-838 ◽

Cited By ~ 17

Author(s):

A Greenough ◽

J Pool ◽

H Gamsu

Keyword(s):

Randomised Controlled Trial ◽

High Frequency ◽

Positive Pressure Ventilation ◽

Controlled Trial ◽

Positive Pressure ◽

Randomised Controlled

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eHBB: a randomised controlled trial of virtual reality or video for neonatal resuscitation refresher training in healthcare workers in resource-scarce settings

BMJ Open ◽

10.1136/bmjopen-2020-048506 ◽

2021 ◽

Vol 11 (8) ◽

pp. e048506

Author(s):

Rachel Umoren ◽

Sherri Bucher ◽

Daniel S Hippe ◽

Beatrice Nkolika Ezenwa ◽

Iretiola Bamikeolu Fajolu ◽

...

Keyword(s):

Virtual Reality ◽

Randomised Controlled Trial ◽

Healthcare Workers ◽

Controlled Trial ◽

Neonatal Resuscitation ◽

Pass Rates ◽

Healthcare Facilities ◽

Randomised Controlled ◽

The Impact

ObjectiveTo assess the impact of mobile virtual reality (VR) simulations using electronic Helping Babies Breathe (eHBB) or video for the maintenance of neonatal resuscitation skills in healthcare workers in resource-scarce settings.DesignRandomised controlled trial with 6-month follow-up (2018–2020).SettingSecondary and tertiary healthcare facilities.Participants274 nurses and midwives assigned to labour and delivery, operating room and newborn care units were recruited from 20 healthcare facilities in Nigeria and Kenya and randomised to one of three groups: VR (eHBB+digital guide), video (video+digital guide) or control (digital guide only) groups before an in-person HBB course.Intervention(s)eHBB VR simulation or neonatal resuscitation video.Main outcome(s)Healthcare worker neonatal resuscitation skills using standardised checklists in a simulated setting at 1 month, 3 months and 6 months.ResultsNeonatal resuscitation skills pass rates were similar among the groups at 6-month follow-up for bag-and-mask ventilation (BMV) skills check (VR 28%, video 25%, control 22%, p=0.71), objective structured clinical examination (OSCE) A (VR 76%, video 76%, control 72%, p=0.78) and OSCE B (VR 62%, video 60%, control 49%, p=0.18). Relative to the immediate postcourse assessments, there was greater retention of BMV skills at 6 months in the VR group (−15% VR, p=0.10; −21% video, p<0.01, –27% control, p=0.001). OSCE B pass rates in the VR group were numerically higher at 3 months (+4%, p=0.64) and 6 months (+3%, p=0.74) and lower in the video (−21% at 3 months, p<0.001; −14% at 6 months, p=0.066) and control groups (−7% at 3 months, p=0.43; −14% at 6 months, p=0.10). On follow-up survey, 95% (n=65) of respondents in the VR group and 98% (n=82) in the video group would use their assigned intervention again.ConclusioneHBB VR training was highly acceptable to healthcare workers in low-income to middle-income countries and may provide additional support for neonatal resuscitation skills retention compared with other digital interventions.

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