Time to Adjust to Changes in Ventilation Settings Varies Significantly between Different T-Piece Resuscitators, Self-Inflating Bags, and Manometer Equipped Self-Inflating Bags
Julia C Hartung, Simone K Dold, Marta Thio, Arjan tePas, Gerd Schmalisch, Charles Christoph Roehr
American Journal of Perinatology | THIEME MEDICAL PUBL INC | Published : 2014
OBJECTIVE: Resuscitation guidelines give no preference over use of self-inflating bags (SIBs) or T-piece resuscitators (TPR) for manual neonatal ventilation. We speculated that devices would differ significantly regarding time required to adjust to changed ventilation settings. STUDY DESIGN: This was a laboratory study. Time to adjust from baseline peak inflation pressure (PIP) (20 cmH2O) to target PIP (25 and 40 cmH2O), ability to adhere to predefined ventilation settings (PIP, PEEP, and inflation rate [IR]), and the variability within and between operators were assessed for a SIB without manometer, SIB with manometer (SIBM), and two TPRs. RESULTS: Adjustment time was significantly longer w..View full abstract
Awarded by European Respiratory Society (LTRF)
We thank Dr. Marcus Kelm for assisting with the data analysis. Dr. Roehr gratefully acknowledges the generous support from the European Respiratory Society (LTRF-No 15-2011).