Respiratory function monitoring during neonatal resuscitation: a crossover study of high-fidelity simulated bronchopulmonary dysplasia.
9 affiliations
- 1Department of Women and Children's Health, King's College London, London, United Kingdom.
- 2Department of Women's and Children's Health, Karolinska Institute, Stockholm, Sweden.
- 3Division of Neonatology, Department of Paediatrics, Willem-Alexander Children's Hospital, Leiden Universitair Medisch Centrum, Leiden, Netherlands.
- 4Neonatal Intensive Care Unit, Chelsea and Westminster Hospital, London, United Kingdom.
- 5Neonatal Intensive Care Unit, Puerta del Mar Universitario Hospital, Cádiz, Spain.
- 6Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
- 7Department of Neonatology, University Children's Hospital Basel (UKBB), Basel, Switzerland.
- 8Division of Neonatology, Saint-Luc University Hospital, UCLouvain, Brussels, Belgium.
- 9Neonatal Intensive Care Unit, University of Patras, Patras, Greece.
Abstract
Purpose
We aimed to test the hypothesis that respiratory function monitoring (RFM) during neonatal resuscitation can reduce mask leak and the delivery of inadvertently high tidal volumes.Methods
We used a high fidelity neonatal manikin mimicking the lung mechanics of bronchopulmonary dysplasia. Neonatal clinicians provided positive pressure ventilation with a bag-valve and mask while blinded and while unblinded to the RFM, displaying the leak and the tidal volume.Results
The median (IQR) inspiratory tidal volume when blinded to the RFM [8.3 (7.1-10.6) ml/kg] was significantly higher compared to when unblinded to the RFM [6.7 (5.8-8.3) ml/kg, p = 0.002]. The expiratory tidal volume when blinded to the RFM [6.5 (5.8-7.8) ml/kg] was significantly higher compared to when unblinded to the RFM [5.7 (5.1-6.9) ml/kg, p = 0.021]. The percentage of leak was not different when blinded to the RFM compared to when unblinded. The peak inflation pressure was not different when blinded to the RFM compared to when unblinded.Conclusion
During simulated resuscitation of bronchopulmonary dysplasia, participants were more likely to achieve a tidal volume within the intended range and a higher respiratory rate when they had real-time RFM feedback compared to when such feedback was not available.
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BibTeX
@article{jenkinson2026respiratory,
title = {{Respiratory function monitoring during neonatal resuscitation: a crossover study of high-fidelity simulated bronchopulmonary dysplasia.}},
author = {Allan Jenkinson and Kerstin Jost and Janneke Dekker and Emma Williams and Almudena Alonso-Ojembarrena and Anna Lavizzari and Benjamin Stoecklin and Olivier Danhaive and Theodore Dassios},
journal = {Frontiers in pediatrics},
year = {2026},
month = oct,
doi = {10.3389/fped.2026.1940755},
url = {https://europepmc.org/article/MED/42908977},
note = {CC BY},
}
RIS
TY - JOUR
TI - Respiratory function monitoring during neonatal resuscitation: a crossover study of high-fidelity simulated bronchopulmonary dysplasia.
AU - Allan Jenkinson
AU - Kerstin Jost
AU - Janneke Dekker
AU - Emma Williams
AU - Almudena Alonso-Ojembarrena
AU - Anna Lavizzari
AU - Benjamin Stoecklin
AU - Olivier Danhaive
AU - Theodore Dassios
PY - 2026
DA - 2026/10/07
JO - Frontiers in pediatrics
DO - 10.3389/fped.2026.1940755
UR - https://europepmc.org/article/MED/42908977
AB - Purpose We aimed to test the hypothesis that respiratory function monitoring (RFM) during neonatal resuscitation can reduce mask leak and the delivery of inadvertently high tidal volumes.Methods We used a high fidelity neonatal manikin mimicking the lung mechanics of bronchopulmonary dysplasia. Neonatal clinicians provided positive pressure ventilation with a bag-valve and mask while blinded and while unblinded to the RFM, displaying the leak and the tidal volume.Results The median (IQR) inspiratory tidal volume when blinded to the RFM [8.3 (7.1-10.6) ml/kg] was significantly higher compared to when unblinded to the RFM [6.7 (5.8-8.3) ml/kg, p = 0.002]. The expiratory tidal volume when blinded to the RFM [6.5 (5.8-7.8) ml/kg] was significantly higher compared to when unblinded to the RFM [5.7 (5.1-6.9) ml/kg, p = 0.021]. The percentage of leak was not different when blinded to the RFM compared to when unblinded. The peak inflation pressure was not different when blinded to the RFM compared to when unblinded.Conclusion During simulated resuscitation of bronchopulmonary dysplasia, participants were more likely to achieve a tidal volume within the intended range and a higher respiratory rate when they had real-time RFM feedback compared to when such feedback was not available.
SN - 2296-2360
ER -