title: Evaluation of peak inspiratory pressure and respiratory rate during ventilation of an infant lung model with a self-inflating bag.
abstract: OBJECTIVE
  To evaluate the peak inspiratory pressure and ventilation rate achieved by physicians when using a neonatal self-inflating bag on a lung model.
  
  
  METHODS
  Fifteen physicians ventilated full term and preterm infant lung simulators while the outcomes were captured by a ventilation monitor.
  
  
  RESULTS
  Median peak pressures in cmH(2)O for full term and preterm lungs were 23 (interquartile range: 15-47) and 26 (interquartile range: 14-51), being less than 20 in 41.2 and 35.8% of the pressure curves analyzed, more than 40 in 29.7 and 33.6%, and between 27 and 33 cmH(2)O in 8.2 and 6.5% of the curves, respectively. Median ventilation rates were 45 (interquartile range: 36-57) and 48 (interquartile range: 39-55.5) cycles per minute, being more than 30 in 9.3 and 6.7% of pressure curves and more than 60 in 12 and 13.3% of pressure curves, for the full term and preterm lungs, respectively. The differences between these medians were not statistically significant.
  
  
  CONCLUSIONS
  Ventilation rates achieved with the self-inflating bag were adequate in approximately 80% of pressure curves analyzed, but the physicians were unable to provide ventilation with minimal pressure variation, producing pressures that diverged from those defined by the neonatal resuscitation training course in 70% of the curves. This was irrespective of whether they were ventilating the lung model analogous to preterm or full term infant lungs.
authors.affiliation: Ciências Médicas, Universidade de Brasília (UnB), Brasília, DF, Brasil. jeffersoncfr@hotmail.com
authors.forename: Jefferson G
authors.initials: JG
authors.lastname: Resende
authors.forename: Cristiane G
authors.initials: CG
authors.lastname: Menezes
authors.forename: Ana M C
authors.initials: AM
authors.lastname: Paula
authors.forename: Antonio C P
authors.initials: AC
authors.lastname: Ferreira
authors.forename: Carlos A M
authors.initials: CA
authors.lastname: Zaconeta
authors.forename: César A M
authors.initials: CA
authors.lastname: Silva
authors.forename: Marcelo P
authors.initials: MP
authors.lastname: Rodrigues
authors.forename: Paulo
authors.initials: P
authors.lastname: Tavares
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000295:instrumentation* / Q000379:methods; D006339:Heart Rate / Q000502:physiology*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007320:Inspiratory Capacity / Q000502:physiology*; D008168:Lung / Q000502:physiology; D009359:Neonatology; D011364:Professional Practice; D012121:Respiration, Artificial / Q000295:instrumentation* / Q000379:methods; D012129:Respiratory Function Tests / Q000379:methods; D012122:Ventilators, Mechanical / Q000592:standards*