title: A comparison of different mask holds for positive pressure ventilation in a neonatal manikin.
abstract: BACKGROUND
  Ventilation during neonatal resuscitation is typically initiated with a face mask, but may be ineffective due to leak or obstruction.
  
  
  OBJECTIVE
  To compare leak using three methods of mask hold.
  
  
  METHODS
  Medical and nursing staff regularly involved in neonatal resuscitation used the three holds (two-point, two-handed, spider) on a manikin in a random order to apply positive pressure ventilation (PPV) at standard settings each for 1 min while mask leak was recorded.
  
  
  RESULTS
  Participants (n=53) varied in experience (1-23 years) and hand size. Combined median (IQR) leak was 14 (2-46)% and was not different among the holds.
  
  
  CONCLUSIONS
  There was no difference in the leak measured using the three different mask holds.
authors.affiliation: Neonatal Services, The Royal Women's Hospital, , Parkville, Victoria, Australia.
authors.forename: Emily V
authors.initials: EV
authors.lastname: Wilson
authors.forename: Joyce E
authors.initials: JE
authors.lastname: O'Shea
authors.forename: Marta
authors.initials: M
authors.lastname: Thio
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Dawson
authors.forename: Rosemarie
authors.initials: R
authors.lastname: Boland
authors.forename: Peter G
authors.initials: PG
authors.lastname: Davis
mesh_terms: D006801:Humans; D007231:Infant, Newborn; D008348:Manikins; D008397:Masks; D011175:Positive-Pressure Respiration / Q000295:instrumentation / Q000379:methods*; D012131:Respiratory Insufficiency / Q000628:therapy*; D012151:Resuscitation / Q000379:methods*; D013990:Tidal Volume
keywords: Neonatology; Respiratory