Impact of a Mobile Application for Heart Rate Assessment in Simulated Neonatal Resuscitation

University Hospital Padova60 enrolled

Overview

NeoTapAdvancedSupport (NeoTapAS) is a free-of-charge mobile application that showed good accuracy in HR estimation. This study aims to evaluate the impact of NeoTapAS on timing of HR communication and of resuscitation interventions in a high fidelity simulation scenario.

Assessing the HR by auscultation can be limited due to imprecise auscultation and/or errors in mental computation, leading to inappropriate or delayed resuscitation. Previous studies evaluated a free-of-charge mobile application (NeoTapAdvancedSupport, NeoTapAS) to help HR assessment in a simulated scenario of neonatal resuscitation. NeoTapAS showed good accuracy in estimating HR and could be a useful tool in resource-constrained settings. Another potential advantage of using NeoTapAS may be the anticipation of HR communication during resuscitation, because it avoids mental computation and possible errors due to the stressful situation. In addition, prompt HR assessment may lead to anticipating resuscitation interventions. However, these hypotheses remain to be demonstrated. The aim of this study is to evaluate the promptness in HR communication using NeoTapAS compared with mental computation in a high-fidelity simulated newborn resuscitation scenario. In addition, the impact of NeoTapAS on timing of resuscitation procedures will be investigated.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

DIAGNOSTIC

Masking

SINGLE

Enrollment

Conditions

Neonatal Resuscitation Heart Rate Assessment

Interventions

Auscultation plus NeoTapASOTHER

Pediatric resident responsible for HR assessment will estimate the HR by listening to the praecordium with a stethoscope. When using NeoTapAS, he/she will simultaneously tap the same pace on the screen of an iPad with the NeoTapAS app installed and will verbally communicate the HR displayed on the screen.

Auscultation without NeoTapASOTHER

Auscultation without NeoTapAS

Eligibility

Sex: ALLHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * All pediatric residents from third to fifth year of residency of the University of Piemonte Orientale who were trained on neonatal resuscitation Exclusion Criteria: * Lack of EC approval * Lack of consent to record the scenario and to use the data

Locations (1)

University of Piemonte Orientale

Novara, Italy

Outcomes

Primary Outcomes

Timing of the first HR communication.

Time elapsed from birth to the first HR communication

Time frame: 1 min

Secondary Outcomes

Timing of the second HR communication

Time frame: 2 min

Timing of the third HR communication

Time frame: 3 min

Timing of the fourth HR communication

Time frame: 4 min

Timing of resuscitation interventions (positive pressure ventilation, chest compressions, intubation and administration of first dose of adrenaline

Time frame: 10 min

Timing of the fifth HR communication

Time frame: 5 min

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.