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Review
Respiratory monitoring of neonatal resuscitation
  1. Georg M Schmölzer1,2,3,4,
  2. Omar C O F Kamlin1,
  3. Jennifer A Dawson1,3,5,
  4. Arjan B te Pas6,
  5. Colin J Morley1,3,5,
  6. Peter G Davis1,3,5
  1. 1Department of Newborn Research, Royal Women's Hospital, Melbourne, Australia
  2. 2Division of Neonatology, Department of Paediatrics, Medical University, Graz, Austria
  3. 3Murdoch Children Research Institute, Melbourne, Australia
  4. 4Department of Physiology, Monash University, Melbourne, Australia
  5. 5Department of Obstetrics & Gynaecology, The University of Melbourne, Melbourne, Australia
  6. 6Department of Pediatrics, Division of Neonatology, Leiden University Medical Centre, Leiden, The Netherlands
  1. Correspondence to Dr Georg M Schmölzer, Royal Women's Hospital, Neonatal Services, 20 Flemington Road, Parkville, Victoria 3052, Australia; georg.schmoelzer{at}me.com

Abstract

Video observations and recordings of respiratory signals from mannequin studies and delivery room (DR) resuscitations are described. This article discusses the uses of a respiratory function monitor (RFM) 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. Examples demonstrating its potential usefulness during resuscitations are provided. However, further studies are needed to investigate whether it can help improve short-term and long-term outcomes.

https://doi.org/10.1136/adc.2009.165878

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    Footnotes

    • Competing interests None.

    • Ethics approval This study was conducted with the approval of the Hospital Research and Ethics Committees, The Royal Women's Hospital, Melbourne, Australia.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent Obtained.