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首页> 外文期刊>PLoS One >Effect of a short training on neonatal face-mask ventilation performance in a low resource setting
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Effect of a short training on neonatal face-mask ventilation performance in a low resource setting

机译：短训对低资源环境下新生儿面罩通气性能的影响

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Background We assessed whether a short training, effective in a high resource country, was able to improve the quality of face-mask ventilation (FMV) in a low resource setting. Methods Local healthcare providers at the Centre Médico-Social, Kouvè, Togo were asked to ventilate a neonatal leak-free manikin before (time—t1) and after (t2) a two-minute training session. Immediately after this section, a further two-minute training with participants aware of the data monitor was offered. Finally, a third 1-minute FMV round (t3) was performed by each participant. Ventilatory parameters were recorded using a computerized system. Primary outcome was the percentage of breaths with relevant mask leak (25%). Secondary outcomes were percentages of breaths with a low peak inspiratory pressure (PIP20 cm H2O), within the recommended PIP (20–35 cm H2O) and with a high PIP (35 cm H2O). Results Twenty-six subjects participated in the study. The percentage of relevant mask leak significantly decreased (p0.0001; β = -0.76, SE = 0.10) from 89.7% (SD 21.5%) at t1 to 45.4% (SD 27.2%) at t2 and to 18.3% (SD 20.1%) at t3. The percentage of breaths within the recommended PIP significantly increased (p0.0001; β = +0.54, SE = 0.12). The percentage of breaths with PIP35 cm H2O was 19.5% (SD 32.8%) at t1 and 39.2% (SD 37.7%) at t2 (padj = 0.27; β = +0.61, SE = 0.36) and significantly decreased (padj = 0.01; β = -1.61, SE = 0.55) to 6.0% (SD 15.4%) at t3. Conclusions A 2-minute training on FMV, effective in a high resource country, had a positive effect also in a low resource setting. FMV performance further improved after an extra 2-minute verbal recall plus real time feedback. Although the training was extended, it still does not cost much time and effort. Further studies are needed to establish if these basic skills are transferred in real patients and if they are maintained over time.
机译：背景我们评估了在资源丰富的国家进行的短期培训是否能够在资源匮乏的情况下提高口罩通气（FMV）的质量。方法要求多哥Kouvè的Médico-Social中心的当地医疗服务提供者在进行两分钟的培训之前（时间t1）和之后（t2）对新生儿无泄漏人体模型通气。在本节之后，立即进行了为时两分钟的培训，参与者需要了解数据监控器。最后，每个参与者进行第三次1分钟的FMV回合（t3）。使用计算机系统记录通气参数。主要结局是出现相关面罩泄漏的呼吸百分比（> 25％）。次要结果是低吸气峰值压力（PIP <20 cm H2O），推荐PIP（20–35 cm H2O）和高PIP（> 35 cm H2O）的呼吸百分比。结果26名受试者参加了该研究。相关面罩泄漏的百分比从t1的89.7％（SD 21.5％）显着降低（p <0.0001;β= -0.76，SE = 0.10），降至t2的45.4％（SD 27.2％）和18.3％（SD 20.1％） ）在t3。推荐的PIP内的呼吸百分比显着增加（p <0.0001;β= +0.54，SE = 0.12）。 PIP> 35 cm H2O的呼吸百分比在t1时为19.5％（SD 32.8％），在t2时为39.2％（SD 37.7％）（padj = 0.27;β= +0.61，SE = 0.36），并显着下降（padj = 0.01;在t3时，β= -1.61，SE = 0.55）至6.0％（SD 15.4％）。结论为期2分钟的FMV培训在资源丰富的国家有效，在资源匮乏的情况下也有积极作用。经过2分钟的口头回忆和实时反馈后，FMV性能进一步提高。尽管培训已进行了扩展，但仍不会花费很多时间和精力。需要进一步研究以确定这些基本技能是否已在实际患者中转移，以及这些技能是否会随着时间的流逝而保持。

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