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Neonatal resuscitation monitoring: A low-cost video recording setup for quality improvement in the delivery room at the resuscitation table

BACKGROUND: The quality of neonatal resuscitation after delivery needs to be improved to reach the Sustainable Development Goals 3.2 (reducing neonatal deaths to <12/1,000 live newborns) by the year 2030. Studies have emphasized the importance of correctly performing the basic steps of resuscitat...

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Autores principales: Olson, Linus, Bui, Xuan Anh, Mpamize, Allan, Vu, Hien, Nankunda, Jolly, Truong, Tung Thanh, Byamugisha, Josaphat, Dempsey, Tina, Lubulwa, Clare, Winroth, Axel, Helldén, Daniel, Nguyen, Anh Duy, Alfvén, Tobias, Pejovic, Nicolas, Myrnerts Höök, Susanna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9666784/
https://www.ncbi.nlm.nih.gov/pubmed/36405840
http://dx.doi.org/10.3389/fped.2022.952489
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author Olson, Linus
Bui, Xuan Anh
Mpamize, Allan
Vu, Hien
Nankunda, Jolly
Truong, Tung Thanh
Byamugisha, Josaphat
Dempsey, Tina
Lubulwa, Clare
Winroth, Axel
Helldén, Daniel
Nguyen, Anh Duy
Alfvén, Tobias
Pejovic, Nicolas
Myrnerts Höök, Susanna
author_facet Olson, Linus
Bui, Xuan Anh
Mpamize, Allan
Vu, Hien
Nankunda, Jolly
Truong, Tung Thanh
Byamugisha, Josaphat
Dempsey, Tina
Lubulwa, Clare
Winroth, Axel
Helldén, Daniel
Nguyen, Anh Duy
Alfvén, Tobias
Pejovic, Nicolas
Myrnerts Höök, Susanna
author_sort Olson, Linus
collection PubMed
description BACKGROUND: The quality of neonatal resuscitation after delivery needs to be improved to reach the Sustainable Development Goals 3.2 (reducing neonatal deaths to <12/1,000 live newborns) by the year 2030. Studies have emphasized the importance of correctly performing the basic steps of resuscitation including stimulation, heart rate assessment, ventilation, and thermal control. Recordings with video cameras have previously been shown to be one way to identify performance practices during neonatal resuscitation. METHODS: A description of a low-cost delivery room set up for video recording of neonatal resuscitation. The technical setup includes rechargeable high-definition cameras with two-way audio, NeoBeat heart rate monitors, and the NeoTapAS data collection tools for iPad with direct data export of data for statistical analysis. The setup was field tested at Mulago National Referral Hospital, Kampala, Uganda, and Phu San Hanoi Hospital, Hanoi, Vietnam. RESULTS: The setup provided highly detailed resuscitation video footage including data on procedures and team performance, heart rate monitoring, and clinical assessment of the neonate. The data were analyzed with the free-of-charge NeoTapAS for iPad, which allowed fast and accurate registration of all resuscitative events. All events were automatically registered and exported to R statistical software for further analysis. CONCLUSIONS: Video analysis of neonatal resuscitation is an emerging quality assurance tool with the potential to improve neonatal resuscitation outcomes. Our methodology and technical setup are well adapted for low- and lower-middle-income countries settings where improving neonatal resuscitation outcomes is crucial. This delivery room video recording setup also included two-way audio communication that potentially could be implemented in day-to-day practice or used with remote teleconsultants.
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spelling pubmed-96667842022-11-17 Neonatal resuscitation monitoring: A low-cost video recording setup for quality improvement in the delivery room at the resuscitation table Olson, Linus Bui, Xuan Anh Mpamize, Allan Vu, Hien Nankunda, Jolly Truong, Tung Thanh Byamugisha, Josaphat Dempsey, Tina Lubulwa, Clare Winroth, Axel Helldén, Daniel Nguyen, Anh Duy Alfvén, Tobias Pejovic, Nicolas Myrnerts Höök, Susanna Front Pediatr Pediatrics BACKGROUND: The quality of neonatal resuscitation after delivery needs to be improved to reach the Sustainable Development Goals 3.2 (reducing neonatal deaths to <12/1,000 live newborns) by the year 2030. Studies have emphasized the importance of correctly performing the basic steps of resuscitation including stimulation, heart rate assessment, ventilation, and thermal control. Recordings with video cameras have previously been shown to be one way to identify performance practices during neonatal resuscitation. METHODS: A description of a low-cost delivery room set up for video recording of neonatal resuscitation. The technical setup includes rechargeable high-definition cameras with two-way audio, NeoBeat heart rate monitors, and the NeoTapAS data collection tools for iPad with direct data export of data for statistical analysis. The setup was field tested at Mulago National Referral Hospital, Kampala, Uganda, and Phu San Hanoi Hospital, Hanoi, Vietnam. RESULTS: The setup provided highly detailed resuscitation video footage including data on procedures and team performance, heart rate monitoring, and clinical assessment of the neonate. The data were analyzed with the free-of-charge NeoTapAS for iPad, which allowed fast and accurate registration of all resuscitative events. All events were automatically registered and exported to R statistical software for further analysis. CONCLUSIONS: Video analysis of neonatal resuscitation is an emerging quality assurance tool with the potential to improve neonatal resuscitation outcomes. Our methodology and technical setup are well adapted for low- and lower-middle-income countries settings where improving neonatal resuscitation outcomes is crucial. This delivery room video recording setup also included two-way audio communication that potentially could be implemented in day-to-day practice or used with remote teleconsultants. Frontiers Media S.A. 2022-11-02 /pmc/articles/PMC9666784/ /pubmed/36405840 http://dx.doi.org/10.3389/fped.2022.952489 Text en © 2022 Olson, Bui, Mpamize, Vu, Nankunda, Truong, Byamugisha, Dempsey, Lubulwa, Winroth, Helldén, NeoSupra & NeoSpirit Teams, Nguyen, Alfvén, Pejovic and Myrnerts Höök. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Olson, Linus
Bui, Xuan Anh
Mpamize, Allan
Vu, Hien
Nankunda, Jolly
Truong, Tung Thanh
Byamugisha, Josaphat
Dempsey, Tina
Lubulwa, Clare
Winroth, Axel
Helldén, Daniel
Nguyen, Anh Duy
Alfvén, Tobias
Pejovic, Nicolas
Myrnerts Höök, Susanna
Neonatal resuscitation monitoring: A low-cost video recording setup for quality improvement in the delivery room at the resuscitation table
title Neonatal resuscitation monitoring: A low-cost video recording setup for quality improvement in the delivery room at the resuscitation table
title_full Neonatal resuscitation monitoring: A low-cost video recording setup for quality improvement in the delivery room at the resuscitation table
title_fullStr Neonatal resuscitation monitoring: A low-cost video recording setup for quality improvement in the delivery room at the resuscitation table
title_full_unstemmed Neonatal resuscitation monitoring: A low-cost video recording setup for quality improvement in the delivery room at the resuscitation table
title_short Neonatal resuscitation monitoring: A low-cost video recording setup for quality improvement in the delivery room at the resuscitation table
title_sort neonatal resuscitation monitoring: a low-cost video recording setup for quality improvement in the delivery room at the resuscitation table
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9666784/
https://www.ncbi.nlm.nih.gov/pubmed/36405840
http://dx.doi.org/10.3389/fped.2022.952489
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