PS-224Video Education To Improve Bag Mask Ventilation During Simulated Newborn Resuscitation

• Published in: Archives of disease in childhood Vol. 99; no. Suppl 2; pp. A193 - A194
• Main Authors: Deindl, P, Schwindt, J, Berger, A, Schmoelzer, G
• Format: Journal Article
• Language: English
• Published: 01-10-2014
• ISSN: 0003-9888
• DOI: 10.1136/archdischild-2014-307384.523

AimTo evaluate if video based education could improve quality of positive pressure ventilation (PPV) performed by novice health care providers during neonatal resuscitation.MethodsTwenty-eight 4th year medical students were randomly paired and instructed to give PPV to a modified manikin as single-person resuscitators, then as two-person paired resuscitators using either an anatomical shaped neonatal face mask with an air cushion rim (IS) or a Laerdal round face mask (LM). After watching a video-tutorial they randomly repeated each mask ventilation performance. Airway pressure, gas flow, tidal volume, and mask leak were recorded. PPV performance quality was analysed using video recording.ResultsMask leak was lower during one-person ventilation when using IS (56 plus or minus 16%) compared to LM (71 plus or minus 19%). LM mask leak during one-person ventilation was significantly lower when using the two point top hold in contrast to the ok rim hold (before training: 63 plus or minus 22% vs. 72 plus or minus 18%, after training: 57 plus or minus 17% vs. 77 plus or minus 12%, respectively). Watching a video-tutorial improved correct head position (score: 1.4 plus or minus 0.7 vs. 3.8 plus or minus 0.4) and chin lift manoeuvre (score: 2.3 plus or minus 0.2 vs. 3.5 plus or minus 0.2) during PPV, however mask leak was not significantly reduced.ConclusionA self-instructional educational video on adequate bag mask ventilation significantly improves performance quality scores in novice health care providers.[Figure][Figure]