Current address: Department of General Medicine, Royal Children's Hospital, Flemington Rd, Parkville, Victoria 3052, Australia
Assessment of neonatal resuscitation performance using video recording in a perinatal centre
Article first published online: 8 JUN 2010
© 2010 The Authors. Journal compilation © 2010 Paediatrics and Child Health Division (Royal Australasian College of Physicians)
Journal of Paediatrics and Child Health
Volume 46, Issue 7-8, pages 378–383, July/August 2010
How to Cite
Gelbart, B., Hiscock, R. and Barfield, C. (2010), Assessment of neonatal resuscitation performance using video recording in a perinatal centre. Journal of Paediatrics and Child Health, 46: 378–383. doi: 10.1111/j.1440-1754.2010.01747.x
- Issue published online: 16 JUL 2010
- Article first published online: 8 JUN 2010
- Accepted for publication 29 December 2009.
- Apgar score;
- quality assurance;
- video recording
Aim: To assess the quality of neonatal resuscitation using video recordings in a perinatal centre.
Methods: Video recording was performed during high-risk deliveries between August 2007 and January 2008. Video recordings of neonatal resuscitations were assessed using a scoring tool previously used to assess resuscitation performance. Qualitative assessments and observations of team function and technical aspects of management were also recorded. Apgar scores documented in the Medical History and those derived from the video record were compared.
Results: Twenty video recordings of neonatal resuscitations were assessed. Of the assessed domains; invasive ventilation and administration of surfactant were performed best with median scores of 100%. Performed least well were preparation and initial steps as well as the assessment and communication of heart rate (HR); 69% and 75%, respectively. Apgar scores were overestimated by a median value of 2 points at both 1 and 5 min (P < 0.001). Errors during resuscitation included inadequate oropharyngeal suction, aggressive stimulation, poor communication of heart rate and inadequate non-invasive ventilation. Failure to detect deterioration was also observed.
Conclusion: Video recording identified strengths and weaknesses in the performance of neonatal resuscitation and can facilitate targeted education and quality assurance programmes.