| Autor: |
Mark Castera, Megan M. Gray, Carri Gest, Patrick Motz, Taylor Sawyer, Rachel Umoren |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
Telemedicine Reports, Vol 3, Iss 1, Pp 55-61 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2692-4366 |
| DOI: |
10.1089/TMR.2021.0049 |
| Popis: |
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. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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