Header

UZH-Logo

Maintenance Infos

Suction Mask vs Conventional Mask Ventilation in Term and Near-Term Infants in the Delivery Room: A Randomized Controlled Trial


Lorenz, Laila; Rüegger, Christoph M; O'Currain, Eoin; Dawson, Jennifer A; Thio, Marta; Owen, Louise S; Donath, Susan M; Davis, Peter G; Kamlin, C Omar F (2018). Suction Mask vs Conventional Mask Ventilation in Term and Near-Term Infants in the Delivery Room: A Randomized Controlled Trial. Journal of Pediatrics, 198:181-186.e2.

Abstract

OBJECTIVE
To compare the suction mask, a new facemask that uses suction to create a seal between the mask and the infant's face, with a conventional soft, round silicone mask during positive pressure ventilation (PPV) in the delivery room in newborn infants >34 weeks of gestation.
STUDY DESIGN
Single-center randomized controlled trial in the delivery room. The primary outcome was mask leak.
RESULTS
Forty-five infants were studied at a median gestational age of 38.1 weeks (IQR, 36.4-39.0 weeks); 22 were randomized to the suction mask and 23 to the conventional mask. The suction mask did not reduce mask leak (49.9%; IQR, 11.0%-92.7%) compared with the conventional mask (30.5%; IQR, 10.6%-48.8%; P = .51). The suction mask delivered lower peak inspiratory pressure (27.2 cm HO [IQR, 25.0-28.7 cm HO] vs 30.4 cm HO [IQR, 29.4-32.5 cm HO]; P < .05) and lower positive end expiratory pressure (3.7 cm HO [IQR, 3.1-4.5 cm HO] vs 5.1 cm HO [IQR, 4.2-5.7 cm HO ]; P < .05). There was no difference in the duration of PPV or rates of intubation or admission to the neonatal intensive care unit. In 5 infants (23%), the clinician switched from the suction to the conventional mask, 2 owing to intermittently low peak inspiratory pressure, 2 owing to failure to respond to PPV, and 1 owing to marked facial bruising after 6 minutes of PPV.
CONCLUSIONS
The use of the suction mask to provide PPV in newborn infants did not reduce facemask leak. Adverse effects such as the inability to achieve the set pressures and transient skin discoloration are concerning.
TRIAL REGISTRATION
Australian and New Zealand Clinical Trial Registry ACTRN12616000768493.

Abstract

OBJECTIVE
To compare the suction mask, a new facemask that uses suction to create a seal between the mask and the infant's face, with a conventional soft, round silicone mask during positive pressure ventilation (PPV) in the delivery room in newborn infants >34 weeks of gestation.
STUDY DESIGN
Single-center randomized controlled trial in the delivery room. The primary outcome was mask leak.
RESULTS
Forty-five infants were studied at a median gestational age of 38.1 weeks (IQR, 36.4-39.0 weeks); 22 were randomized to the suction mask and 23 to the conventional mask. The suction mask did not reduce mask leak (49.9%; IQR, 11.0%-92.7%) compared with the conventional mask (30.5%; IQR, 10.6%-48.8%; P = .51). The suction mask delivered lower peak inspiratory pressure (27.2 cm HO [IQR, 25.0-28.7 cm HO] vs 30.4 cm HO [IQR, 29.4-32.5 cm HO]; P < .05) and lower positive end expiratory pressure (3.7 cm HO [IQR, 3.1-4.5 cm HO] vs 5.1 cm HO [IQR, 4.2-5.7 cm HO ]; P < .05). There was no difference in the duration of PPV or rates of intubation or admission to the neonatal intensive care unit. In 5 infants (23%), the clinician switched from the suction to the conventional mask, 2 owing to intermittently low peak inspiratory pressure, 2 owing to failure to respond to PPV, and 1 owing to marked facial bruising after 6 minutes of PPV.
CONCLUSIONS
The use of the suction mask to provide PPV in newborn infants did not reduce facemask leak. Adverse effects such as the inability to achieve the set pressures and transient skin discoloration are concerning.
TRIAL REGISTRATION
Australian and New Zealand Clinical Trial Registry ACTRN12616000768493.

Statistics

Citations

Dimensions.ai Metrics
1 citation in Web of Science®
2 citations in Scopus®
Google Scholar™

Altmetrics

Downloads

1 download since deposited on 08 Feb 2019
1 download since 12 months
Detailed statistics

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Neonatology
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:July 2018
Deposited On:08 Feb 2019 15:27
Last Modified:08 Feb 2019 15:32
Publisher:Elsevier
ISSN:0022-3476
OA Status:Closed
Publisher DOI:https://doi.org/10.1016/j.jpeds.2018.03.013
Official URL:https://www.sciencedirect.com/science/article/pii/S0022347618303457?via%3Dihub
PubMed ID:29705115

Download