{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T06:49:37Z","timestamp":1791355777644,"version":"4.3.1"},"reference-count":14,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>We aimed to test the hypothesis that respiratory function monitoring (RFM) during neonatal resuscitation can reduce mask leak and the delivery of inadvertently high tidal volumes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used a high fidelity neonatal manikin mimicking the lung mechanics of bronchopulmonary dysplasia. Neonatal clinicians provided positive pressure ventilation with a bag-valve and mask while blinded and while unblinded to the RFM, displaying the leak and the tidal volume.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The median (IQR) inspiratory tidal volume when blinded to the RFM [8.3 (7.1\u201310.6) ml\/kg] was significantly higher compared to when unblinded to the RFM [6.7 (5.8\u20138.3) ml\/kg,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002]. The expiratory tidal volume when blinded to the RFM [6.5 (5.8\u20137.8) ml\/kg] was significantly higher compared to when unblinded to the RFM [5.7 (5.1\u20136.9) ml\/kg,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.021]. The percentage of leak was not different when blinded to the RFM compared to when unblinded. The peak inflation pressure was not different when blinded to the RFM compared to when unblinded.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>During simulated resuscitation of bronchopulmonary dysplasia, participants were more likely to achieve a tidal volume within the intended range and a higher respiratory rate when they had real-time RFM feedback compared to when such feedback was not available.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2026.1940755","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T05:50:54Z","timestamp":1791352254000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Respiratory function monitoring during neonatal resuscitation: a crossover study of high-fidelity simulated bronchopulmonary dysplasia"],"prefix":"10.3389","volume":"14","author":[{"given":"Allan","family":"Jenkinson","sequence":"first","affiliation":[{"name":"Department of Women and Children\u2019s Health, King\u2019s College London","place":["London, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerstin","family":"Jost","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s and Children\u2019s Health, Karolinska Institute","place":["Stockholm, Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janneke","family":"Dekker","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Paediatrics, Willem-Alexander Children\u2019s Hospital, Leiden Universitair Medisch Centrum","place":["Leiden, Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Williams","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, Chelsea and Westminster Hospital","place":["London, United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Almudena","family":"Alonso-Ojembarrena","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, Puerta del Mar Universitario Hospital","place":["C\u00e1diz, Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Lavizzari","sequence":"additional","affiliation":[{"name":"Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico","place":["Milan, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Stoecklin","sequence":"additional","affiliation":[{"name":"Department of Neonatology, University Children\u2019s Hospital Basel (UKBB)","place":["Basel, Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Danhaive","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Saint-Luc University Hospital, 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