Pressure Data from Neonatalie Live Manikin to Determine Appropriate Ventilation During Simulation Training of Undergraduate Students in Neonatal Resuscitation

Background: Neonatalie Live (NL) was developed as a part of the Safer Births project with collaboration between Laerdal Global Health and Tanzanian, Norwegian, and international research institutions. Its features allow instructors to determine the time of starting ventilation, the percentage of valid ventilations, etc. NL generated real-time data during the assessment. Aim: To evaluate whether undergraduate students trained on Neonatalie and NL manikins had equivalent ventilation skills on NL. Study design: Randomized Control Trial. Methods: Final-year MBBS students were randomly assigned to Neonatalie (72 students) or NL (71 students) groups after providing written and informed consent and assessed on NL. Live data generated by NL was analyzed. Outcome: To assess the success rate at bag and mask ventilation (BMV), as evidenced by objective data from NL. Results: A total of 142 students (assessed only on NL) participated in the study before and after four months. Total time from initiation of BMV to spontaneous breathing did not differ significantly between the Neonatalie and NL [127.6 sec (57.4) vs. 115.1 sec (48.3), p = .16]. “Try to ventilate the baby continuously without pauses” was the most common feedback to all students 70 (49.2%), but no statistical significance between the Neonatalie and NL groups [34 (47.2%) vs. 36 (51.43%)] was found. Conclusion: Undergraduate students trained on either manikin had similar success at BMV, as evidenced by independent objective data generated from within the manikin.