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A comparison of different mask holds for positive pressure ventilation in a neonatal manikin
  1. Emily V Wilson1,
  2. Joyce E O'Shea1,2,
  3. Marta Thio1,3,4,
  4. Jennifer A Dawson1,3,5,
  5. Rosemarie Boland1,3,4,
  6. Peter G Davis1,3,5
  1. 1Neonatal Services, The Royal Women's Hospital, Parkville, Victoria, Australia
  2. 2University College, Cork, Ireland
  3. 3Department of Obstetrics and Gynaecology, The University of Melbourne, Melbourne, Victoria, Australia
  4. 4Newborn Emergency Transport Service, Royal Children's Hospital, Melbourne, Victoria, Australia
  5. 5Murdoch Children's Research Institute, Melbourne, Victoria, Australia
  1. Correspondence to Dr Joyce E O'Shea, Department of Newborn Research, Royal Women's Hospital, Locked Bag 300, Grattan St & Flemington Road, Parkville VIC 3052, Australia; joyce.oshea{at}


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.

  • Neonatology
  • Respiratory

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