Paramedic PapersHome Paediatrics Two-handed neonatal mask ventilation training
Paediatrics
Two-handed neonatal mask ventilation training
It takes two: development of simulation training for two-handed neonatal mask ventilation integrating a respiratory function monitor; a non-randomised before-and-after simulation study
Resuscitation Plus · Added 28 September 2026
Before-and-after simulation study of a respiratory-function-monitor-guided two-handed neonatal PPV training package in 40 clinicians — the two-handed hold cut median facemask leak to 2.5% vs 27% one-handed before training, leak was low with both holds after training, and preference for two-handed ventilation rose from 27% to 50%.
- Study type
- Simulation
- Design
- Non-randomised before-and-after simulation study
- Participants
- 40 clinicians on a term manikin
- Main finding
- Two-handed hold had lower mask leak before training (median 2.5% vs 27% one-handed, p<0.01); after training leak was low with both holds (2% vs 6%); preference for two-handed rose from 27% to 50%.
- Caveat
- Simulation on a manikin with non-randomised before-and-after design; clinician participants, not paramedics.
- Bottom line
- Hypothesis-generating
Why it matters in Australia (High relevance). Two-handed mask hold for neonatal ventilation sits squarely in AP scope (CMG 5B Neonate Resuscitation), needs no equipment or formulary change; manikin-based evidence, but the technique takeaway is immediate.
Learning goal
Refine my two-handed mask hold technique for neonatal resuscitation to minimise leak during ventilation.
More
- Topic: Paediatrics
- Daily scan: 28 September 2026
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