Arrhythmias & electrophysiology

Exerted force on the face mask in preterm infants at birth is associated with apnoea and bradycardia

ResuscitationPublished Prospective observational study

Authors' conclusion

During mask ventilation, the median exerted force on a face mask was 297 grams with a maximum of 1455 grams. Higher exerted forces were associated apnoea and bradycardia during the first 10 minutes of respiratory support at birth.

Study context

Population
Preterm infants born <32 weeks of gestation stabilised at birth with mask respiratory support
Participants
30 infants
Exposure
Positive pressure ventilation vs CPAP
Outcome
Amount of force exerted on the face mask and its association with apnoea and bradycardia
Follow-up
First 10 minutes of respiratory support

Main finding

As reported in the abstract

Exerted force on face mask
Higher forceOdds ratio (CI)P value
Apnoea; binary logistic regression
1.607(1.556–1.661)
P < 0.001
Bradycardia; binary logistic regression
1.140(1.102–1.180)
P < 0.001
Median exerted force overall (grams), IQR 198-377
297
Range of exerted force (grams)
0 to 1455

Observational data: associations, not effects.

Original publication

Exerted force on the face mask in preterm infants at birth is associated with apnoea and bradycardia. Resuscitation. Published 12 December 2023. doi:10.1016/j.resuscitation.2023.110086

Summarised from the published abstract; every number is checked against it

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