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Arch. Dis. Child. Fetal Neonatal Ed.. Published Online First: 22 September 2009. doi:10.1136/adc.2009.165878
Copyright © 2009 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

Review

Respiratory monitoring of neonatal resuscitation

Georg M Schmölzer 1*, Omar Farouk Kamlin 1, Jennifer A Dawson 1, Peter G Davis 1 and Colin J Morley 2

1 The Royal Women's Hospital, Australia
2 Neonatal Consultant, United Kingdom

* To whom correspondence should be addressed. E-mail: georg.schmoelzer{at}me.com.

Accepted 21 August 2009


Abstract

We describe video observations and recordings of respiratory signals from mannequin studies and delivery room resuscitations. This article discusses the uses of a respiratory function monitor during training and resuscitations along with potential pitfalls and limitations. It adds objectivity to the clinical assessment. A respiratory function monitor provides real-time, quantitative information including tidal volume and leak. It may be used to teach correct mask-hold and positioning techniques during simulation-based mannequin. We provide examples demonstrating its potential usefulness during resuscitations. However, further studies are needed to investigate whether it can help improve short- and long-term outcomes.


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