Resuscitation Table Height for Face-mask Ventilation in Infants (ForTab)

University Hospital Padova

Status: Completed

Conditions: Asphyxia; Newborn Morbidity; Resuscitation

Treatments: Other: High resuscitation table; Other: Low resuscitation table

Study type: Interventional

Funder types: Other

Identifiers

NCT06254651

NEOUNIPD4(2023)

Details and patient eligibility

About

Positive pressure ventilation (PPV) is the most important intervention in neonatal resuscitation. During PPV, it is important to hold the face-mask with care, as applying excessive pressure could cause injury to the infant, while insufficient pressure could be a contributor of mask leak and reduced effective ventilation. Application of positive pressure to face structures may trigger a vagally mediated reflex via the trigeminal nerve that innervates the skin of the face leading to apnoea and a decrease in heart rate (TCR, trigeminal-cardiac reflex).

The force exerted by providers during neonatal ventilation to improve mask seal might result in pressure lesions and the elicitation of the trigeminal-cardiac reflex. The height of the resuscitation could influence the forces applied to the face and the quality of the procedure. Information about the applied forces in relation to the height of the resuscitation table is unknown.

Enrollment: 28 patients

Sex: All

Ages: 25 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Level III neonatal intensive neonatal care unit consultants and pediatric residents

Exclusion criteria

• None

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

---

28 participants in 2 patient groups

High resuscitation table

Experimental group

Description:

Participants will be invited to administer face-mask ventilation setting the table height to the operator's xiphoid process in a neonatal manikin.

Treatment:

Other: High resuscitation table

Low resuscitation table

Active Comparator group

Description:

Participants will be invited to administer face-mask ventilation setting the table height to the operator's superior anterior iliac spines in a neonatal manikin.

Treatment:

Other: Low resuscitation table