scholarly journals Two-Minute Training for Improving Neonatal Bag and Mask Ventilation

PLoS ONE ◽  
2014 ◽  
Vol 9 (10) ◽  
pp. e109049 ◽  
Author(s):  
Jeroen J. van Vonderen ◽  
Ruben S. Witlox ◽  
Sascha Kraaij ◽  
Arjan B. te Pas
Keyword(s):  
Mask Ventilation ◽  
Bag And Mask Ventilation

Predictors of mortality in premature babies with respiratory distress syndrome treated by early rescue surfactant therapy

2021 ◽  
pp. 1-6
Author(s):  
V. Gahlawat ◽  
H. Chellani ◽  
I. Saini ◽  
S. Gupta
Keyword(s):  
Mechanical Ventilation ◽  
Birth Weight ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Distress Syndrome ◽  
Surfactant Therapy ◽  
Mask Ventilation ◽  
Predictors Of Mortality ◽  
Antenatal Steroid ◽  
Bag And Mask Ventilation

OBJECTIVE: To determine the predictors of mortality following early rescue surfactant therapy in preterm babies with respiratory distress syndrome. STUDY DESIGN: Prospective cohort study enrolling babies between 28 weeks to 34 weeks with respiratory distress syndrome requiring early rescue surfactant therapy. For statistical analysis babies were further divided into two subgroups: survivors and non-survivors. Maternal and neonatal variables were compared between the two groups to find out the predictors of mortality. RESULTS: Out of total 110 babies, 72 (65.45%) survived. The mean birth weight and mean gestational age of the study population was 1614.36 (±487.86) g and 31.40 (±2.0)1 weeks, respectively. Birth weight <  1500 g, gestational age <  32 weeks, primiparity, vaginal delivery, prolonged rupture of membranes, lack of antenatal steroid cover, bag and mask ventilation at birth, sepsis, apneic episodes and mechanical ventilation were significantly associated with death on univariate analysis. On multivariate analysis, very low birth weight, vaginal delivery, lack of antenatal steroid cover, bag and mask ventilation at birth and mechanical ventilation were found to be independent predictors of mortality. CONCLUSIONS: Some of the identified predictors of mortality are modifiable and can be used to draw up a screening tool to predict the clinical severity and mortality among these babies.

scholarly journals Ease in bag and mask ventilation: Is ankyloglossia in a child with micrognathia a blessing in disguise?

2017 ◽  
Vol 11 (3) ◽  
pp. 803
Author(s):  
Vansh Priya ◽  
Rameez Riaz ◽  
Sanjay Dhiraaj ◽  
Puneet Goyal
Keyword(s):  
Mask Ventilation ◽  
Bag And Mask Ventilation

scholarly journals Evaluating time between birth to cry or bag and mask ventilation using mobile delivery room timers in India: the NICHD Global Network’s Helping Babies Breathe Trial

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Manjunath S. Somannavar ◽  
Shivaprasad S. Goudar ◽  
Amit P. Revankar ◽  
Janet L. Moore ◽  
Elizabeth M. McClure ◽  
...  
Keyword(s):  
Delivery Room ◽  
Mask Ventilation ◽  
Helping Babies Breathe ◽  
Bag And Mask Ventilation

Steroids and bag and mask ventilation in the treatment of acute epiglottitis

1979 ◽  
Vol 14 (3) ◽  
pp. 247-251 ◽  
Author(s):  
Marvin Glicklich ◽  
Roger D. Cohen ◽  
Juda Z. Jona
Keyword(s):  
Mask Ventilation ◽  
Acute Epiglottitis ◽  
Bag And Mask Ventilation

scholarly journals Risk of Transmission of infection to Healthcare Workers delivering Supportive Care for Coronavirus Pneumonia;A Rapid GRADE Review

2020 ◽  
Author(s):  
TK Luqman Arafath ◽  
Sandeep S Jubbal ◽  
Elakkat D Gireesh ◽  
Jyothi Margapuri ◽  
Hanumantha Rao Jogu ◽  
...  
Keyword(s):  
Healthy Volunteer ◽  
Supportive Care ◽  
Endotracheal Intubation ◽  
Formal Training ◽  
Mask Ventilation ◽  
Mechanistic Studies ◽  
Eye Protection ◽  
Corona Virus ◽  
Evidence Grade ◽  
Bag And Mask Ventilation

Abstract Background: Avenues of treatment currently implemented for Covid-19 pandemic are largely supportive in nature. Non -availability of an effective antiviral treatment makes supportive care for acute hypoxic respiratory failure is the most crucial intervention. Highly contagious nature of Covid-19 had created stress and confusion among front line Health Care Workers (HCWs) regarding infectious risk of supportive interventions and best preventive strategies. Purpose: To analyze and summarize key evidence from published literature exploring the risk of transmission of Covid-19 related to common supportive care interventions in hospitalized patients and effectiveness of currently used preventive measures in hospital setting. Data Sources: Curated Covid-19 literature from NCBI Computational Biology Branch ,Embase and Ovid till May 20,2020.Longitudinal and reference search till June 28,2020 Study Selection: Studies pertaining to risk of infection to HCWs providing standard supportive care of hospitalized Covid-19 mainly focusing on respiratory support interventions.Indirect studies from SARS,MERS or other ARDS pathology caused by infectious agents based on reference tracking and snow ball search . Clinical, Healthy volunteer and mechanistic studies were included. Two authors independently screened studies for traditional respiratory supportive-care (Hypoxia management, ventilatory support and pulmonary toileting) related transmission of viral or bacterial pneumonia to HCWs. Data Extraction: Two authors (TK and SP) independently screened articles and verified for consensus. Quality of studies and level of evidence was assessed using Oxford Center for Evidence Based Medicine (OCEBM) , Newcastle - Ottawa quality assessment Scale for observational studies and Grading of Recommendations Assessment, Development and Evaluation (GRADE) system for grading evidence. Data Synthesis: 21 studies were eligible for inclusion. In 11 mechanistic studies, 7 were manikin based,1 was in the setting of GNB pneumonia ,2 were healthy volunteer study and 1 was heterogenous setting.Out of 10 clinical studies ,5 were case controlled and 6 were cohort studies. Risk of corona virus transmission was significantly high in HCWs performing or assisting endotracheal intubation or contact with respiratory secretion.(Moderate certainty evidence, GRADE B) Safety of nebulization treatment in corona virus pneumonia patients are questionable(Low certainty evidence, GRADE C).Very low certainty evidence exist for risk of transmission with conventional HFNC (GRADE D) and NIV (GRADE D),CPR (GRADE D),Bag and mask ventilation(GRADE D).Moderate certainty evidence exist for protective effect of wearing a multilayered mask, gown , eye protection and formal training for PPE use (GRADE B).Low certainty evidence exist for transmission risk with bag and mask ventilation, suctioning before and after intubation and prolonged exposure (GRADE C).Certainty of evidence for wearing gloves,post exposure hand washing and wearing N 95 mask is low(GRADE C). Limitations: This study was limited to articles with English abstract. Highly dynamic nature of body of literature related to Covid-19, frequent updates were necessary even during preparation of manuscript and longitudinal search was continued even after finalizing initial search. Due to the heterogeneity and broad nature of the search protocol, quantitative comparisons regarding the effectiveness of included management strategies could not be performed. Direct evidence was limited due to poor quality and non-comparative nature of available Covid-19 reporting. Conclusions: Major risk factors for transmission of corona virus infection were, performing or assisting endotracheal intubation and contact with respiratory secretion. Risk of transmission with HFNC or NIV can be significantly decreased by helmet interface, modified exhalation circuit or placing a properly fitting face mask over patient interface of HFNC. Evidence for risk of transmission with CPR, suctioning before or after intubation or bag and mask ventilation of very low certainty. Significant protective factors are Formal training for PPE use, consistently wearing mask, gown and eye protection. Primary Funding Source: None Disclosure: None of the authors have any conflict of interest to disclose.

scholarly journals Learning Curves for Bag-and-mask Ventilation and Orotracheal Intubation

2010 ◽  
Vol 112 (6) ◽  
pp. 1525-1531 ◽  
Author(s):  
Ryu Komatsu ◽  
Yusuke Kasuya ◽  
Hisanori Yogo ◽  
Daniel I. Sessler ◽  
Edward Mascha ◽  
...  
Keyword(s):  
Tracheal Intubation ◽  
Failure Rate ◽  
Orotracheal Intubation ◽  
Learning Curves ◽  
Failure Rates ◽  
Mask Ventilation ◽  
Intubation Success ◽  
Intubation Success Rate ◽  
Ventilation Failure ◽  
Bag And Mask Ventilation

Background In this study, the authors determined the success and failure rates for interns learning bag-and-mask ventilation and orotracheal intubation. Their goal was to determine the amount of experience needed to perform these procedures correctly. Methods The authors recorded 695 bag-and-mask ventilations and 679 orotracheal intubations performed by 15 inexperienced interns during their 3 month-long anesthesia rotations. Learning curves for each procedure for each intern were constructed with both the standard and risk-adjusted cumulative sum methods. The average number of procedures required to attain a failure rate of 20% was estimated for each technique. Results Fourteen of 15 interns attained acceptable failure rates at bag-and-mask ventilation after 27 +/- 13 procedures, with a median (95% confidence interval) of 25 (15-32) procedures to cross the decision limit when considering all 15 interns. Nine of 15 interns attained acceptable failure rates at orotracheal intubation after 26 +/- 8 procedures, with a median of 29 (22-not estimable) procedures to cross the limit when considering all interns. The proportion of interns who attained acceptable failure rates for mask ventilation was greater than for tracheal intubation (93% vs. 60%, P = 0.025). Overall, our interns achieved a bag-and-mask ventilation failure rate of 20% or better after a median of 25 procedures; approximately 80% of interns achieved the goal after 35 procedures or less. Conclusions Participating interns developed mask ventilation skills faster than orotracheal intubation skills, and there was more variability in the rate at which intubation skills developed. A median of 29 procedures was required to achieve an 80% orotracheal intubation success rate.

scholarly journals Effectiveness and Acceptability of Bag-and-mask Ventilation with Visual Monitor for Improving Neonatal Resuscitation in Simulated Setting in Six Hospitals of Nepal

2019 ◽  
Vol 17 (2) ◽  
pp. 222-227
Author(s):  
Rejina Gurung ◽  
Abhishek Gurung ◽  
Priyanka Rajbhandari ◽  
Uwe Ewald ◽  
Omkar Basnet ◽  
...  
Keyword(s):  
Large Scale ◽  
Health Workers ◽  
Clinical Performance ◽  
Neonatal Resuscitation ◽  
Public Hospitals ◽  
Mask Ventilation ◽  
Air Leakage ◽  
Improvement Project ◽  
Ventilation Performance ◽  
Bag And Mask Ventilation

Background: Improving the performance of health workers on neonatal resuscitation will be critical to ensure that the babies are effectively ventilated. We conducted a study to evaluate whether a bag-and-mask ventilation with monitor is effective in improving neonatal resuscitation practice in a simulated setting. Methods: This is a cross-over design conducted in 6 public hospitals with 82 health workers of Nepal nested over a large scale stepped wedged quality improvement project. A one-day training on neonatal resuscitation was conducted. At the end of the training, participants were evaluated on the bag-and-mask ventilation performance in a manikinbased on the tidal volume, positive end expiratory pressure and air leakage from the maskin two sessions (monitor displayed versus hidden). The comparison of the neonatal resuscitation performance with and without monitor displayed is calculated. We also conducted assessment of confidence with or without monitor of the health workers. Results: Adequacy of ventilation using bag-and-mask was better when the health workers were displayed monitor (90%) vs without monitor (76%) (p<0.01). The air leakage from the mask reduced when the monitor was displayed (12%) vs without (30%). The PEEP improved when the health workers used monitor as guide to conduct neonatal resuscitation in the manikin then without monitor displayed. The participants felt more confident performing ventilations during the visible sessions. Conclusions: The ventilation function monitor helped participants to improve their ventilation skills through realtime feedback of important ventilation parameters. Clinical evaluation of needs to be done to assess the effectiveness of the device. Keywords: Clinical performance; monivent neo; neonatal resuscitation; Nepal; ventilation monitor.

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