title: Comparison of training in neonatal resuscitation using self inflating bag and T-piece resuscitator.
abstract: BACKGROUND
  Both the self inflating bag and the T-piece resuscitator are recommended for neonatal resuscitation, but many health care workers are unfamiliar with using the latter. A prospective, comparative, observational study was done to determine the ease and effectiveness of training of health care personnel in the two devices using infant training manikins.
  
  
  METHODS
  100 health care workers, who had no prior formal training in neonatal resuscitation, were divided into small groups and trained in the use of the two devices by qualified trainers. Assessment of cognitive skills was done by pre and post MCQs. Psychomotor skill was assessed post training on manikins using a 10-point objective score. Acceptance by users was ascertained by questionnaire. Assessments were also done after 24 h and 3 months. Comparison was done by Chi square and paired t-tests.
  
  
  RESULTS
  Pre-training cognitive tests increased from 3.77 (+1.58) to 6.99 (+1.28) on day of training which was significant. Post training assessment of psychomotor skills showed significantly higher initial scores for the T-piece group (7.07 + 2.57) on day of training. Reassessment after 24 h showed significant improvement in cognitive scores (9.89 + 1.24) and psychomotor scores in both groups (8.86 + 1.42 for self inflating bag and 9.70 + 0.57 for T-piece resuscitator). After 3-6 months the scores in both domains showed some decline which was not statistically significant. User acceptability was the same for both devices.
  
  
  CONCLUSIONS
  It is equally easy to train health care workers in both devices. Both groups showed good short term recall and both devices were equally acceptable to the users.
authors.affiliation: Professor & Head, Department of Paediatrics, Armed Forces Medical College, Pune 411040, India.
authors.forename: S S
authors.initials: SS
authors.lastname: Mathai
authors.affiliation: Associate Professor, Department of Pediatrics, Armed Forces Medical College, Pune 411040, India.
authors.forename: K M
authors.initials: KM
authors.lastname: Adhikari
authors.affiliation: Classified Specialist, Department of Paediatrics, INHS Sanjeevani, Kochi, India.
authors.forename: A
authors.initials: A
authors.lastname: Rajeev
keywords: Neonatal resuscitation; Self inflating bag; T-piece resuscitator