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Table 4 Bag/mask ventilation characteristics recorded from the newborn resuscitation monitor (n=644). Values are given as median (quartiles) or percentage (number)

From: Newborn resuscitation simulation training and changes in clinical performance and perinatal outcomes: a clinical observational study of 10,481 births

 

Period 1

Baseline

Period 2

Individual skill training

Period 3

Local champions

P value

Period 1 vs 2

Period

1 vs 3

Period 2 vs 3

01.09.15–31.08.16

01.09.16–30.09.17

01.10.17–26.06.18

    

220

268

156

    

Heart rate characteristics

 First HR (bpm)

98 (61–152)

95 (62–149)

88 (60–140)

0.699a

   

 First HR under 100 bpm (%)

50.9 (112)

50.7 (136)

55.1 (86)

0.644a

   

 HR after last ventilation (bpm)

153 (130, 171)

157 (134, 169)

160 (137, 170)

0.621a

   

 HR 60 s after last ventilation (bpm)

160 (138, 176)

163 (145, 176)

160 (140, 175)

0.550a

   

BMV characteristics

 Total BMV duration (seconds)

135 (66, 349)

127 (64, 266)

152 (82, 347)

0.234a

   

 Total BMV pause (%)

27.9 (15.2, 44.8)

19.1 (8.2, 34.9)

15.7 (4.0, 31.2)

<0.001a

<0.001b

<0.001b

0.077b

 Tidal volume expired, (ml/kg)

7.6 (4.8, 11.8)

6.0 (2.9, 9.8)

6.3 (3.5, 10.4)

<0.001a

<0.001b

0.025bc

0.137b

 Mask leak (%)

38.0 (15.8, 57.0)

42.0 (18.5, 61.8)

38.8 (16.0, 60.0)

0.495a

   

 Ventilation frequency, (1/min)

45.0 (36.0, 55.0)

48.0 (42.0, 54.0)

48.0 (42.2, 54.0)

0.006a

0.009b

0.005b

0.542b

 Peak inspiratory pressure (mbar)

36.0 (30.0, 39.0)

39.0 (36.0, 40.0)

38.0 (37.0, 40.0)

<0.001a

<0.001b

<0.001b

0.498b

 Minute volume (ml)

369 (225, 556)

287 (181, 459)

324 (198, 449)

0.005a

0.001b

0.049bc

0.335b

 Number of ventilations

61 (34, 159)

72 (38, 147)

85 (44, 208)

0.017a

0.348b

0.006b

0.029bc

 Static lung compliance, (ml/mbar)

0.93 (0.60, 1.40)

0.64 (0.38, 1.01)

0.67 (0.40, 1.02)

<0.001a

<0.001b

<0.001b

0.630b

First minute of ventilation

 Total BMV pause during first minute (%)

31.1 (12.3, 56.6)

23.6 (8.3, 42.1)

15.1 (5.5, 38.7)

<0.001a

0.003b

<0.001b

0.020bc

 Tidal volume expired (ml/kg)

7.0 (3.5, 10.6)

4.2 (1.4, 8.1)

4.3 (1.9, 8.7)

<0.001a

<0.001b

<0.001b

0.443b

 Mask leak (%)

42.2 (21.0, 68.2)

52.8 (24.2, 74.5)

52.5 (26.0, 72.0)

0.068a

   

 Ventilation frequency, (1/min)

46.0 (37.0, 58.0)

48.0 (42.0, 55.5)

49.0 (43.0, 55.0)

0.058a

   

 Peak inspiratory pressure (mbar)

37.0 (32.0, 40.0)

39.0 (37.0, 41.0)

38.8 (37.0, 41.5)

<0.001a

<0.001b

<0.001b

0.742b

 Minute volume (ml)

317 (183, 494)

241 (113, 385)

247 (153, 387)

<0.001a

<0.001b

0.002b

0.500b

 Number of ventilations

30 (20, 40)

36 (27, 44)

39 (29, 44)

<0.001a

<0.001b

<0.001b

0.190b

 Static lung compliance (ml/mbar)

0.93 (0.61, 1.41)

0.65 (0.39, 1.04)

0.71 (0.41, 1.06)

<0.001a

<0.001b

<0.001b

0.396b

  1. HR heart rate, BMV bag/mask ventilation, Bpm beat per minute
  2. aKruskal-Wallis test
  3. bMann-Whitney test
  4. cNot significant after Bonferroni correction