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Updated: Jul 25, 2025

Laryngeal Mask Airway LMA Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway SGA

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Published on: July 14, 2023

Mask ventilation using volume-targeted neonatal ventilator for neonatal resuscitation: a randomised cross-over

Brenda Hiu Yan Law¹, Tina Madani Kia², Faith Trinh²

¹Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada blaw2@ualberta.ca.

Archives of Disease in Childhood. Fetal and Neonatal Edition

|June 27, 2023

Summary

This simulation study found that while using a neonatal ventilator for mask ventilation is feasible, it increased healthcare professionals' perceived workload and stress compared to T-piece resuscitators. Human factors require careful consideration before clinical use.

Area of Science:

Neonatal Resuscitation
Medical Simulation
Human Factors Engineering

Background:

Mask ventilation is a critical component of neonatal resuscitation.
Traditional T-piece resuscitators are commonly used, but novel methods are being explored.
Understanding human factors is essential for safe and effective implementation of new medical devices.

Purpose of the Study:

To compare a novel ventilator-based mask ventilation method with standard T-piece ventilation using simulations.
To evaluate human factors, including workload and visual attention, associated with each method.
To inform the clinical application of ventilator-based mask ventilation in neonates.

Main Methods:

A randomized cross-over simulation study was conducted with experienced healthcare professionals (HCPs).
Participants performed simulated preterm neonatal resuscitations using either ventilator-based volume-targeted positive pressure mask ventilation (VTV-PPV) or T-piece positive pressure ventilation (T-piece PPV).
Subjective workload (SURG-TLX) and visual attention (VA) were measured using eye-tracking glasses.

Main Results:

HCPs reported significantly higher workload scores for VTV-PPV, particularly in mental demand, physical demand, task complexity, and situational stress.
Visual attention distribution was similar between the two methods, despite longer simulation times for VTV-PPV.
While VTV-PPV was rated positively overall, participants noted challenges with ergonomics, cognition, and teamwork.

Conclusions:

Ventilator-based volume-targeted positive pressure mask ventilation is a feasible approach for neonatal resuscitation.
Implementation requires careful consideration of human factors, including workload and potential ergonomic and cognitive challenges.
Further research and refinement are needed to optimize this novel ventilation method for clinical practice.

Keywords:

intensive care units, neonatal neonatology resuscitation technology

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