PMID- 15499138
OWN - NLM
STAT- MEDLINE
DCOM- 20041126
LR  - 20181113
IS  - 1359-2998 (Print)
IS  - 1468-2052 (Electronic)
IS  - 1359-2998 (Linking)
VI  - 89
IP  - 6
DP  - 2004 Nov
TI  - Comparison of three manual ventilation devices using an intubated mannequin.
PG  - F490-3
AB  - OBJECTIVE: To compare three devices for manual neonatal ventilation. DESIGN: 
      Participants performed a two minute period of ventilation using a self inflating 
      device, an anaesthesia bag with attached manometer, and a Neopuff device. An 
      intubated neonatal mannequin, approximating a 1 kg infant with functional lungs, 
      was used for the study. Target ventilation variables included a rate of 40 
      breaths per minute, peak inspiratory pressure (PIP) of 20 cm H2O, and positive 
      end expiratory pressure (PEEP) of 4 cm H2O. The circuit was attached to a laptop 
      computer for data recording. RESULTS: Thirty five participants were enrolled, 
      including consultant neonatologists, paediatricians, and anaesthetists, 
      paediatric and anaesthetic registrars, and neonatal nurses. The maximum PIP 
      recorded using the self inflating bag, anaesthetic bag, and Neopuff device were 
      75.9, 35.5, and 22.4 cm H2O respectively. There were significant differences 
      between the devices for mean PIP (30.7, 18.1, and 20.1 cm H2O), mean PEEP (0.2, 
      2.8, and 4.4 cm H2O), mean airway pressure (7.6, 8.5, and 10.9 cm H2O), % total 
      breaths < or = 21 cm H2O PIP (39%, 92%, and 98%), and % total breaths > or = 30 
      cm H2O PIP (45%, 0, and 0). There was no difference between doctors and allied 
      health professionals for the variables examined. CONCLUSION: The anaesthetic bag 
      with manometer and Neopuff device both facilitate accurate and reproducible 
      manual ventilation. Self inflating devices without modifications are not as 
      consistent by comparison and should incorporate a manometer and a PEEP device, 
      particularly when used for resuscitation of very low birthweight infants.
FAU - Hussey, S G
AU  - Hussey SG
AD  - Erinville Hospital, Cork, Ireland.
FAU - Ryan, C A
AU  - Ryan CA
FAU - Murphy, B P
AU  - Murphy BP
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - England
TA  - Arch Dis Child Fetal Neonatal Ed
JT  - Archives of disease in childhood. Fetal and neonatal edition
JID - 9501297
SB  - IM
MH  - Allied Health Personnel
MH  - Humans
MH  - Infant, Newborn
MH  - Intubation, Intratracheal/methods
MH  - Manikins
MH  - Medical Staff, Hospital
MH  - Positive-Pressure Respiration/methods
MH  - Respiration, Artificial/*instrumentation/methods
PMC - PMC1721775
EDAT- 2004/10/23 09:00
MHDA- 2004/12/16 09:00
PMCR- 2007/11/01
CRDT- 2004/10/23 09:00
PHST- 2004/10/23 09:00 [pubmed]
PHST- 2004/12/16 09:00 [medline]
PHST- 2004/10/23 09:00 [entrez]
PHST- 2007/11/01 00:00 [pmc-release]
AID - 89/6/F490 [pii]
AID - 10.1136/adc.2003.047712 [doi]
PST - ppublish
SO  - Arch Dis Child Fetal Neonatal Ed. 2004 Nov;89(6):F490-3. doi: 
      10.1136/adc.2003.047712.