title: Two-minute training for improving neonatal bag and mask ventilation.
abstract: OBJECTIVE
  To test effectivity of a two-minute training consisting of a few key-points in ventilation using the self-inflating bag (SIB).
  
  
  METHODS
  Experienced and inexperienced caregivers were asked to mask ventilate a leak free manikin using the SIB before and after the training. Mask leak and pressures were measured using respiratory function monitoring. Pressures above 35 cm H2O were considered excessive. Parameters were compared using a Wilcoxon non-parametric test.
  
  
  RESULTS
  Before and after the short training, experienced caregivers had minimal median (IQR) mask leak (14 (3-75) vs. 3 (0-53)%; p<0.01). Inexperienced users had large leak which reduced from 51 (7-91)% before to 11 (2-71)% after training (p<0.01). Pressures above 35 cm H2O hardly occurred in experienced caregivers (0 (0-5) vs. 0 (0-0)%; ns). In inexperienced caregivers this frequently occurred but decreased considerably after training (94 (46-100) vs. 2 (0-70)%; p<0.01).
  
  
  CONCLUSIONS
  A two-minute training of bag and mask ventilation was effective. This training could be incorporated into any training program.
authors.affiliation: Department of Pediatrics, Division of Neonatology, Leiden University Medical Center, Leiden, the Netherlands.
authors.forename: Jeroen J
authors.initials: JJ
authors.lastname: van Vonderen
authors.affiliation: Department of Pediatrics, Division of Neonatology, Leiden University Medical Center, Leiden, the Netherlands.
authors.forename: Ruben S
authors.initials: RS
authors.lastname: Witlox
authors.affiliation: Department of Pediatrics, Division of Neonatology, Leiden University Medical Center, Leiden, the Netherlands.
authors.forename: Sascha
authors.initials: S
authors.lastname: Kraaij
authors.affiliation: Department of Pediatrics, Division of Neonatology, Leiden University Medical Center, Leiden, the Netherlands.
authors.forename: Arjan B
authors.initials: AB
authors.lastname: te Pas
mesh_terms: D002983:Clinical Competence; D006801:Humans; D007231:Infant, Newborn; D007327:Insufflation / Q000379:methods*; D008348:Manikins; D008397:Masks; D012121:Respiration, Artificial; D014691:Ventilation / Q000379:methods*