• Jeroen J van Vonderen, Ruben S Witlox, Sascha Kraaij, and Arjan B te Pas.
• Department of Pediatrics, Division of Neonatology, Leiden University Medical Center, Leiden, the Netherlands.
• Plos One. 2014 Jan 1; 9 (10): e109049.

ObjectivesTo test effectivity of a two-minute training consisting of a few key-points in ventilation using the self-inflating bag (SIB).Study DesignExperienced and inexperienced caregivers were asked to mask ventilate a leak free manikin using the SIB before and after the training. Mask leak and pressures were measured using respiratory function monitoring. Pressures above 35 cm H2O were considered excessive. Parameters were compared using a Wilcoxon non-parametric test.ResultsBefore and after the short training, experienced caregivers had minimal median (IQR) mask leak (14 (3-75) vs. 3 (0-53)%; p<0.01). Inexperienced users had large leak which reduced from 51 (7-91)% before to 11 (2-71)% after training (p<0.01). Pressures above 35 cm H2O hardly occurred in experienced caregivers (0 (0-5) vs. 0 (0-0)%; ns). In inexperienced caregivers this frequently occurred but decreased considerably after training (94 (46-100) vs. 2 (0-70)%; p<0.01).ConclusionA two-minute training of bag and mask ventilation was effective. This training could be incorporated into any training program.

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