Respiratory Function Monitoring and Visual Attention in Resuscitating Term Infants: A Manikin-Based Randomised
Robert T Joyce1, Dalal Alhassan1, Anne L Murray1,2
1Department of Paediatrics and Child Health, University College Cork, Ireland.
Acta Paediatrica (Oslo, Norway : 1992)
|May 28, 2025
Summary
Using a Respiratory Function Monitor (RFM) in simulated newborn resuscitation did not change the time to deliver effective positive pressure ventilation (PPV). Clinicians spent less time focusing on the manikin when the RFM was visible.
Area of Science:
- Neonatal resuscitation
- Medical device evaluation
- Clinical simulation
Background:
- Effective positive pressure ventilation (PPV) is crucial in neonatal resuscitation.
- The Respiratory Function Monitor (RFM) is a device designed to assist in PPV delivery.
- Evaluating the impact of new technology on resuscitation efficiency is important.
Purpose of the Study:
- To determine if using a Respiratory Function Monitor (RFM) affects the time to deliver 30 seconds of effective positive pressure ventilation (PPV) during simulated newborn resuscitation.
- To assess the impact of RFM use on clinician visual attention during simulated neonatal resuscitation.
Main Methods:
- A randomized crossover trial was conducted with 30 clinicians in a simulated manikin resuscitation setting.
- Participants performed resuscitations with and without the Respiratory Function Monitor (RFM) visible.
- Visual attention (VA) directed towards the manikin was measured for each condition.
Main Results:
- There was no significant difference in the time taken to provide 30 seconds of effective PPV between conditions (RFM visible vs. not visible).
- The median time for effective PPV was 73.1 seconds without RFM and 71.9 seconds with RFM (p=0.294).
- Clinicians showed a statistically significant decrease in visual attention (VA) towards the manikin when the RFM was visible (81.3% vs. 59.5%, p<0.001).
Conclusions:
- The use of a Respiratory Function Monitor (RFM) did not decrease the time to provide 30 seconds of effective PPV in a simulated term newborn resuscitation.
- RFM use significantly reduced the visual attention clinicians paid to the manikin during simulated resuscitation.
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