OBJECTIVE: To investigate whether using a respiratory function monitor (RFM) during mask resuscitation of preterm infants reducesface mask leak and improves tidal volume (V(T)). STUDY DESIGN:Infants receiving mask resuscitation were randomized to have the display of an RFM (airway pressure, flow, and V(T) 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 V(T) was similar in the 2 groups. Oxygen was provided to 61% of the visible RFM group and 87% of the RFM masked group (P = .044). Continuous positive airway pressure use was greater in the visible RFM group (73% vs 43%; P = .035). Intubation in the delivery room was done in 21% of the visible group and in 57% of the masked group (P = .035). CONCLUSION: Using an RFM was associated with significantly less mask leak, more mask adjustments, and a lower rate of excessive V(T). Copyright Â
RCT Entities:
OBJECTIVE: To investigate whether using a respiratory function monitor (RFM) during mask resuscitation of preterm infants reduces face mask leak and improves tidal volume (V(T)). STUDY DESIGN:Infants receiving mask resuscitation were randomized to have the display of an RFM (airway pressure, flow, and V(T) 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 V(T) was similar in the 2 groups. Oxygen was provided to 61% of the visible RFM group and 87% of the RFM masked group (P = .044). Continuous positive airway pressure use was greater in the visible RFM group (73% vs 43%; P = .035). Intubation in the delivery room was done in 21% of the visible group and in 57% of the masked group (P = .035). CONCLUSION: Using an RFM was associated with significantly less mask leak, more mask adjustments, and a lower rate of excessive V(T). Copyright Â
Authors: Natalie Batey; Caroline Henry; Shalabh Garg; Michael Wagner; Atul Malhotra; Michel Valstar; Thomas Smith; Don Sharkey Journal: Pediatr Res Date: 2022-03-03 Impact factor: 3.756
Authors: Trixie A Katz; Danielle D Weinberg; Claire E Fishman; Vinay Nadkarni; Patrice Tremoulet; Arjan B Te Pas; Aleksandra Sarcevic; Elizabeth E Foglia Journal: Arch Dis Child Fetal Neonatal Ed Date: 2018-06-14 Impact factor: 5.747
Authors: Venkatakrishna Kakkilaya; Ihab Jubran; Vaishali Mashruwala; Emma Ramon; Valerie N Simcik; Marjory Marshall; L Steven Brown; Mambarambath A Jaleel; Vishal S Kapadia Journal: Pediatrics Date: 2019-01-02 Impact factor: 7.124