PT  - JOURNAL ARTICLE
AU  - Laila Lorenz
AU  - Dominic A Maxfield
AU  - Jennifer A Dawson
AU  - C Omar F Kamlin
AU  - Lorraine McGrory
AU  - Marta Thio
AU  - Susan M Donath
AU  - Peter G Davis
TI  - A new suction mask to reduce leak during neonatal resuscitation: a manikin study
AID  - 10.1136/archdischild-2015-309772
DP  - 2016 Sep 01
TA  - Archives of Disease in Childhood - Fetal and Neonatal Edition
PG  - F464--F467
VI  - 101
IP  - 5
4099  - http://fn.bmj.com/content/101/5/F464.short
4100  - http://fn.bmj.com/content/101/5/F464.full
SO  - Arch Dis Child Fetal Neonatal Ed2016 Sep 01; 101
AB  - Objective Leak around the face mask is a common problem during neonatal resuscitation. A newly designed face mask using a suction system to enhance contact between the mask and the infant's face might reduce leak and improve neonatal resuscitation. The aim of the study is to determine whether leak is reduced using the suction mask (Resusi-sure mask) compared with a conventional mask (Laerdal Silicone mask) in a manikin model.Methods Sixty participants from different professional categories (neonatal consultants, fellows, registrars, nurses, midwives and students) used each face mask in a random order to deliver 2 min of positive pressure ventilation to a manikin. Delivered airway pressures were measured using a pressure line. Inspiratory and expiratory flows were measured using a flow sensor, and expiratory tidal volumes and mask leaks were derived from these values.Results A median (IQR) leak of 12.1 (0.6–39.0)% was found with the conventional mask compared with 0.7 (0.2–4.6)% using the suction mask (p=0.002). 50% of the participants preferred to use the suction mask and 38% preferred to use the conventional mask. There was no correlation between leak and operator experience.Conclusions A new neonatal face mask based on the suction system reduced leak in a manikin model. Clinical studies to test the safety and effectiveness of this mask are needed.