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CompletedNCT06254651ForTabUpdated Apr 8, 2024

Resuscitation Table Height for Face-mask Ventilation in Infants

An interventional study of High resuscitation table and Low resuscitation table in Asphyxia, Resuscitation and Newborn Morbidity, sponsored by University Hospital Padova. Completed at 1 site in Italy. Open to participants aged 25 Years to 65 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-04-08.

Sponsored by University Hospital Padova · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
28
Allocation
Randomized
Ages
25 Years to 65 Years
Sex
All
01

Study summary

Positive pressure ventilation (PPV) is the most important intervention in neonatal resuscitation. During PPV, it is important to hold the face-mask with care, as applying excessive pressure could cause injury to the infant, while insufficient pressure could be a contributor of mask leak and reduced effective ventilation. Application of positive pressure to face structures may trigger a vagally mediated reflex via the trigeminal nerve that innervates the skin of the face leading to apnoea and a decrease in heart rate (TCR, trigeminal-cardiac reflex).

The force exerted by providers during neonatal ventilation to improve mask seal might result in pressure lesions and the elicitation of the trigeminal-cardiac reflex. The height of the resuscitation could influence the forces applied to the face and the quality of the procedure. Information about the applied forces in relation to the height of the resuscitation table is unknown.

02

Conditions studied

  • Asphyxia
  • Resuscitation
  • Newborn Morbidity

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03

In context

Asphyxia

39 studies on the registry are indexed under Asphyxia; 7 are open to participants now.

This study's enrollment of 28 is below the median of 111 across 24 interventional studies indexed under Asphyxia.

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Lead sponsor

University Hospital Padova is the lead sponsor of 41 studies on the registry; 10 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
25 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Level III neonatal intensive neonatal care unit consultants and pediatric residents

Exclusion criteria

Exclusion Criteria:

  • None
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
28 participants (actual)

Study arms

  • Experimental
    High resuscitation table

    Participants will be invited to administer face-mask ventilation setting the table height to the operator's xiphoid process in a neonatal manikin.

    Other: High resuscitation table

  • Active comparator
    Low resuscitation table

    Participants will be invited to administer face-mask ventilation setting the table height to the operator's superior anterior iliac spines in a neonatal manikin.

    Other: Low resuscitation table

Interventions

  • OtherHigh resuscitation table

    Participants will be invited to administer face-mask ventilation setting the table height to the operator's xiphoid process in a neonatal manikin.

  • OtherLow resuscitation table

    Participants will be invited to administer face-mask ventilation setting the table height to the operator's superior anterior iliac spines in a neonatal manikin.

06

What researchers measure

Primary outcomes

  1. Applied forces on the manikin face

    The forces applied by the participants to the manikin face will be measured by sensors positioned on the manikin face

    Time frame: 1 minute after initiation of ventilation

Secondary outcomes

  1. Cuff pressure

    The pressure inside the mask will be measured during the procedure

    Time frame: 1 minute after initiation of ventilation

  2. Percentage of ventilation time with leak less than 25% around the mask

    The mask leak will be measured by using a respiratory function monitoring during the procedure

    Time frame: 1 minute after initiation of ventilation

Other outcomes

  1. Participants' opinion on the procedures

    Participants will be asked to rate both procedures by using a Likert scale

    Time frame: 5 minutes after the end of the procedure

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Study locations

1 site
  • Azienda Ospedaliera di Padova, University of Padova
    Padova, 35128, Italy
08

References and documents

Publications

  • Madar J, Roehr CC, Ainsworth S, Ersdal H, Morley C, Rudiger M, Skare C, Szczapa T, Te Pas A, Trevisanuto D, Urlesberger B, Wilkinson D, Wyllie JP. European Resuscitation Council Guidelines 2021: Newborn resuscitation and support of transition of infants at birth. Resuscitation. 2021 Apr;161:291-326. doi: 10.1016/j.resuscitation.2021.02.014. Epub 2021 Mar 24. PubMed 33773829 ↗
  • Wyckoff MH, Wyllie J, Aziz K, de Almeida MF, Fabres JW, Fawke J, Guinsburg R, Hosono S, Isayama T, Kapadia VS, Kim HS, Liley HG, McKinlay CJD, Mildenhall L, Perlman JM, Rabi Y, Roehr CC, Schmolzer GM, Szyld E, Trevisanuto D, Velaphi S, Weiner GM; Neonatal Life Support Collaborators. Neonatal Life Support 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Resuscitation. 2020 Nov;156:A156-A187. doi: 10.1016/j.resuscitation.2020.09.015. Epub 2020 Oct 21. PubMed 33098917 ↗
  • Schilleman K, Witlox RS, Lopriore E, Morley CJ, Walther FJ, te Pas AB. Leak and obstruction with mask ventilation during simulated neonatal resuscitation. Arch Dis Child Fetal Neonatal Ed. 2010 Nov;95(6):F398-402. doi: 10.1136/adc.2009.182162. Epub 2010 Jun 30. PubMed 20591880 ↗
  • van Vonderen JJ, Kleijn TA, Schilleman K, Walther FJ, Hooper SB, te Pas AB. Compressive force applied to a manikin's head during mask ventilation. Arch Dis Child Fetal Neonatal Ed. 2012 Jul;97(4):F254-8. doi: 10.1136/archdischild-2011-300336. Epub 2011 Dec 5. PubMed 22147285 ↗
  • Cavallin F, Sala C, Maglio S, Bua B, Villani PE, Menciassi A, Tognarelli S, Trevisanuto D. Applied forces with direct versus indirect laryngoscopy in neonatal intubation: a randomized crossover mannequin study. Can J Anaesth. 2023 May;70(5):861-868. doi: 10.1007/s12630-023-02402-9. Epub 2023 Feb 14. PubMed 36788198 ↗
  • Lee HC, Yun MJ, Hwang JW, Na HS, Kim DH, Park JY. Higher operating tables provide better laryngeal views for tracheal intubation. Br J Anaesth. 2014 Apr;112(4):749-55. doi: 10.1093/bja/aet428. Epub 2013 Dec 18. PubMed 24355831 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 8, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06254651
Lead sponsor
University Hospital Padova
Responsible party
Daniele Trevisanuto (Associate Professor, University Hospital Padova) — Principal investigator
First posted
Feb 12, 2024
Start date
Feb 12, 2024
Primary completion
Feb 15, 2024
Completion
Feb 15, 2024
Last update
Apr 8, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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