PS-224 Video Education To Improve Bag Mask Ventilation During Simulated Newborn Resuscitation

Abstract

<h3>Aim</h3> To evaluate if video based education could improve quality of positive pressure ventilation (PPV) performed by novice health care providers during neonatal resuscitation. <h3>Methods</h3> Twenty-eight 4th year medical students were randomly paired and instructed to give PPV to a modified manikin as single-person resuscitators, then as two-person paired resuscitators using either an anatomical shaped neonatal face mask with an air cushion rim (IS) or a Laerdal round face mask (LM). After watching a video-tutorial they randomly repeated each mask ventilation performance. Airway pressure, gas flow, tidal volume, and mask leak were recorded. PPV performance quality was analysed using video recording. <h3>Results</h3> Mask leak was lower during one-person ventilation when using IS (56 ± 16%) compared to LM (71 ± 19%). LM mask leak during one-person ventilation was significantly lower when using the two point top hold in contrast to the ok rim hold (before training: 63 ± 22% vs. 72 ± 18%, after training: 57 ± 17% vs. 77 ± 12%, respectively). Watching a video-tutorial improved correct head position (score: 1.4 ± 0.7 vs. 3.8 ± 0.4) and chin lift manoeuvre (score: 2.3 ± 0.2 vs. 3.5 ± 0.2) during PPV, however mask leak was not significantly reduced. <h3>Conclusion</h3> A self-instructional educational video on adequate bag mask ventilation significantly improves performance quality scores in novice health care providers.