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Telecoaching Improves Positive Pressure Ventilation Performance During Simulated Neonatal Resuscitations
- Source :
- Telemedicine Reports, Vol 3, Iss 1, Pp 55-61 (2022)
- Publication Year :
- 2022
- Publisher :
- Mary Ann Liebert, 2022.
-
Abstract
- Introduction: Positive pressure ventilation (PPV) is a critical skill for neonatal resuscitation. We hypothesized that telecoaching would improve PPV performance in neonatal providers during simulated neonatal resuscitations. Setting: Level IV neonatal intensive care unit (NICU). Methods: This prospective crossover study included 14 experienced NICU nurses and respiratory therapists who performed PPV on a mannequin that recorded parameters of ventilation efficiency. Participants were randomized to practice independently (control) or with live feedback from a remote facilitator through audiovisual connection (intervention) and then switched to the opposite group. Participants' mask leak percentage, ventilation rates, and pressure delivery were analyzed. Results: The primary outcome of mask leak percentage was significantly increased in the telecoaching group (19% [interquartile range {IQR} 14?59.25] vs. 100% [IQR 88?100] leak, p?=?0.0001). The secondary outcome of peak inspiratory pressure (PIP) delivery was also increased (median 27.6 [IQR 23.5?34.7] vs. 23.3 [IQR 19.1?32.8] cmH2O, p?0.001). Differences in ventilation rates were not statistically significant (55 vs. 58 breaths/min, p?=?0.51). Conclusion: Participants demonstrated better PPV performance during telecoaching with less mask leak. The intervention group also had higher measured peak inspiratory pressures. Telecoaching may be a feasible method to provide real-time feedback to health care providers during simulated neonatal resuscitations. Hypothesis: Neonatal providers who receive telecoaching during simulated resuscitations will perform PPV more effectively than those who do not receive telecoaching.
Details
- Language :
- English
- ISSN :
- 26924366
- Volume :
- 3
- Issue :
- 1
- Database :
- Directory of Open Access Journals
- Journal :
- Telemedicine Reports
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.8bc947436c846a78e9a276e624e8239
- Document Type :
- article
- Full Text :
- https://doi.org/10.1089/TMR.2021.0049