Journal article

Respiratory function monitor guidance of mask ventilation in the delivery room: A feasibility study

GM Schmölzer, CJ Morley, C Wong, JA Dawson, COF Kamlin, SM Donath, SB Hooper, PG Davis

Journal of Pediatrics | MOSBY-ELSEVIER | Published : 2012

Abstract

Objective: To investigate whether using a respiratory function monitor (RFM) during mask resuscitation of preterm infants reduces face mask leak and improves tidal volume (VT). Study design: Infants receiving mask resuscitation were randomized to have the display of an RFM (airway pressure, flow, and VT waves) either visible or masked. Result: Twenty-six infants had the RFM visible, and 23 had the RFM masked. The median mask leak was 37% (IQR, 21%-54%) in the visible RFM group and 54% (IQR, 37%-82%) in the masked RFM group (P =.01). Mask repositioning was done in 19 infants (73%) of the visible group and in 6 infants (26%) of the masked group (P =.001). The median expired VT was similar in t..

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Grants

Funding Acknowledgements

G.S., C. K., and J.D. are past recipients of a Royal Women's Hospital Postgraduate Scholarship. G. S. is supported in part by a Monash University International Postgraduate Research Scholarship. P. D. and S. H. are supported by Australian National Health and Medical Research Council Practitioner and Principal Research Fellowships, respectively. P. D., S. H., and C. M. hold an Australian National Health and Medical Research Council Program Grant (384100). Fisher & Paykel Healthcare (Auckland, New Zealand) provided the T-piece circuits for the study. Neither the study sponsors nor any company that manufactures, markets, or sells any equipment used in the study were involved in study design, data collection or interpretation, or the decision to present or publish the results. The authors declare no conflicts of interest.