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Updated: May 17, 2026
A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
Comparing the utility of a novel neonatal resuscitation cart with a generic code cart using simulation: a randomised,
Ritu Chitkara1, Anand K Rajani, Henry C Lee
1Department of Pediatrics, Division of Neonatology, Lucile Packard Children's Hospital, Stanford University, 750 Welch Road, Palo Alto, CA 94304, USA. ritu79@gmail.com
Objective:
To compare a novel neonatal resuscitation cart (NRC) to a generic code cart (GCC).
Study Design:
A prospective, randomised, controlled, crossover trial was performed to compare the utility of the NRC with the GCC during simulated deliveries of extremely low birthweight infants and infants with gastroschisis. Fifteen subjects participated. Mean times and accuracy of equipment and supply retrieval were compared for each scenario using the Wilcoxon test.
Results:
Mean acquisition times for the NRC were always faster (by 58% to 74%) regardless of scenario (p<0.01). Accuracy of equipment selection did not differ. Ease of use was judged using a Likert scale (1=easiest to use; 5=most difficult), with mean score for NRC 1.1 and GCC 3.7 (p<0.0001). All subjects rated the NRC as easier to use.
Conclusions:
The NRC was superior to the GCC in acquisition speed, supply selection and ease of use.
Related Concept Videos
01:20Bioequivalence Experimental Study Designs: Completely Randomized and Randomized Block Designs
01:21Cardiopulmonary Resuscitation I: Adult
01:16Crossover Experiments
Crossover designs are performed even with smaller sample sizes since the samples can act as their controls. These are better than simple randomized trials since patients are exposed to all the treatments.