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Related Experiment Video

Updated: Jun 4, 2026

Laryngeal Mask Airway (LMA) Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway (SGA)
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Sustained inflations: comparing three neonatal resuscitation devices.

Claus Klingenberg1, Jennifer A Dawson, Angela Gerber

  • 1Department of Paediatrics, University Hospital of North Norway, Tromsø, Norway. claus.klingenberg@unn.no

Neonatology
|January 29, 2011
PubMed
Summary

Achieving sustained inflations for neonatal resuscitation is challenging with self-inflating bags, often falling short of the recommended 10 seconds. A T-piece device offers more consistent pressure delivery for these critical procedures.

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Area of Science:

  • Neonatal Resuscitation
  • Pediatric Emergency Medicine
  • Respiratory Care

Background:

  • National resuscitation guidelines suggest 2-3 second sustained inflations for infants.
  • Longer inflation times (≥10 seconds) are used for preterm infants.

Purpose of the Study:

  • To evaluate the capacity of clinicians with varying experience levels to deliver sustained inflations.
  • To compare the performance of three distinct manual ventilation devices during sustained inflations.

Main Methods:

  • Fifty clinical staff members used a self-inflating bag, flow-inflating bag, or T-piece device.
  • Target: 10-second sustained inflation with 30 cm H2O peak pressure.
  • Measurements included peak inflating pressure (PIP), mean inflating pressure (MIP), and duration of pressure above 20 and 25 cm H2O.

Main Results:

  • The T-piece and flow-inflating bag achieved median inflation durations >10 seconds (10.7s and 10.6s, respectively).
  • Self-inflating bags resulted in significantly shorter inflation durations (2.5s).
  • Operator experience showed a weak correlation with longer inflation times only for self-inflating bags.

Conclusions:

  • The T-piece device provided consistent peak pressure with less variation during 10-second sustained inflations compared to the flow-inflating bag.
  • Sustained inflations exceeding 3 seconds were difficult to achieve using a self-inflating bag.