Two-Minute Training for Improving Neonatal Bag and Mask Ventilation

Objectives

To test effectivity of a two-minute training consisting of a few key-points in ventilation using the self-inflating bag (SIB).

Study Design

Experienced and inexperienced caregivers were asked to mask ventilate a leak free manikin using the SIB before and after the training. Mask leak and pressures were measured using respiratory function monitoring. Pressures above 35 cm H₂O were considered excessive. Parameters were compared using a Wilcoxon non-parametric test.

Results

Before and after the short training, experienced caregivers had minimal median (IQR) mask leak (14 (3-75) vs. 3 (0-53)%; p<0.01). Inexperienced users had large leak which reduced from 51 (7-91)% before to 11 (2-71)% after training (p<0.01). Pressures above 35 cm H₂O hardly occurred in experienced caregivers (0 (0-5) vs. 0 (0-0)%; ns). In inexperienced caregivers this frequently occurred but decreased considerably after training (94 (46-100) vs. 2 (0-70)%; p<0.01).

Conclusion

A two-minute training of bag and mask ventilation was effective. This training could be incorporated into any training program.