Videorecording to guide newborn resuscitation: a feasibility study
- Research Opportunity
- Number of Honour Places Available
- Obstetrics and Gynaecology
- Royal Children’s Hospital/Murdoch Childrens Research Institute
|Dr MD PhD Marta Thiofirstname.lastname@example.org||03 8345 3763|
|Dr RNN and Midwife Jennifer A Dawsonemail@example.com||03 8345 3763|
Human performance in the delivery of healthcare can be described in terms of three sets of skills: cognitive skills, technical skills, and behavioral skills. In order to assess those skills, markers of performance must be clearly and objectively defined.
Videorecording during neonatal resuscitations has been introduced in recent years, mostly in resourced environments. It is mostly used to collect data (video of the infant, respiratory function monitoring and pulse oximetry, team performance). This information is used to improve clinicians’ knowledge on newborn infant’s cardiorespiratory transition after birth. Also, it is used for educational purposes, to objectively analyse and debrief clinical teams when the neonatal transition event is over.
Communication via tele-conference has also been introduced in recent years. Tele-education has been compared to to face-to face training in newborn resuscitation. This may be particularly advantageous in lower resourced settings, where expert human resources to facilitate neonatal resuscitation training is often limited. A recent study in India found no difference in knowledge, skills or satisfaction, suggesting that tele-education is a reasonable alternative to face-to-face classroom teaching.
To date, there is little evidence that teleconferencing can be used to safely guide newborn resuscitation, especially in low resourced-settings. In this feasibility study, we aim to assess whether a simple hands-free videorecording setup using a smartphone can reliably monitor the sequence of events during newborn resuscitation. This is an observational study that aims to compare the baby’s monitor data and events captured with the smartphone with the events recorded on a standard neonatal resuscitation chart, where a scriber records times, monitoring data and interventions. If this simple setup shows to be reliable, it has the potential to be adopted in low resourced settings, where this strategy might be used to visually and objectively guide newborn resuscitation from a distant setting.
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Research NodeRoyal Children’s Hospital/Murdoch Childrens Research Institute
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