Resuscitators' opinions on using a respiratory function monitor during neonatal resuscitation

Aim The aim of this study was to assess the resuscitators' opinions of the usefulness and clinical value of using a respiratory function monitor (RFM) when resuscitating extremely preterm infants with positive pressure ventilation. Methods The link to an online survey was sent to 106 resuscitators from six countries who were involved in a multicentre trial that compared the percentage of inflations within a predefined target range with and without the RFM. The resuscitators were asked to assess the usefulness and clinical value of the RFM. The survey was online for 4 months after the trial ended in May 2019. Results The survey was completed by 74 (70%) resuscitators of which 99% considered the RFM to be helpful during neonatal resuscitation and 92% indicated that it influenced their decision-making. The majority (76%) indicated that using the RFM improved their practice and made resuscitation more effective, even when the RFM was not available. Inadequate training was the key issue that limited the effectiveness of the RFM: 45% felt insufficiently trained, and 78% felt more training in using and interpreting the RFM would have been beneficial. Conclusion Resuscitators considered the RFM to be helpful to guide neonatal resuscitation, but sufficient training was required to achieve the maximum benefit.

Automated summary

This study aimed to evaluate the usefulness and clinical value of using a respiratory function monitor (RFM) during resuscitation of extremely preterm infants. A survey was conducted among 106 resuscitators from six countries who participated in a multicentre trial. The results showed that 99% of resuscitators considered the RFM helpful and 92% said it influenced their decision-making. However, inadequate training was identified as the key issue that limited the effectiveness of the RFM.