Evidence map›Paper›PMID 36746525›Full record

Trial reportBMJ paediatrics open2023

One-person versus two-person mask ventilation in preterm infants at birth: a pilot randomised controlled trial.

Dharmesh Shah, Mark B Tracy, Murray Kenneth Hinder, Nadia Badawi

2 registry-linked trialsOpen access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ paediatrics open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06740344 nacompletednot on this mapstarted 2025, after this paper: background citation

Neonatal Mask Seal; a Randomised Controlled Trial of Two-handed Versus One-handed Hold for Delivering Positive-pressure Ventilation With a Facemask in Preterm and Term Infants: The NeoSeal Study

TypeinterventionalSponsorUniversity College DublinRan2025 to 2026Enrolled110ConditionsNeonatal Intensive CareArmsTwo-handed facemask hold, Control: One-handed facemask hold
NCT07524517 narecruitingnot on this mapstarted 2026, after this paper: background citation

NeoSHARK: Neonatal Study of Two-Handed Anatomical Versus Round facemasK Ventilation in Preterm and Term Infants; a Randomised Controlled Trial

TypeinterventionalSponsorUniversity College DublinRan2026 to 2027Enrolled50ConditionsNeonatal Intensive CareArmsIntervention: Anatomical facemask, Control: Round facemask
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Article
  4. Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Dharmesh ShahNewborn Intensive Care Unit, Westmead Hospital, Westmead, New South Wales, Australia dharmesh.shah@health.nsw.gov.au.ORCID 0000-0002-2074-2859
Mark B TracyNewborn Intensive Care Unit, Westmead Hospital, Westmead, New South Wales, Australia.
Murray Kenneth HinderNewborn Intensive Care Unit, Westmead Hospital, Westmead, New South Wales, Australia.ORCID 0000-0002-9179-316X
Nadia BadawiGrace Centre for Newborn Care, Children's Hospital at Westmead, Westmead, New South Wales, Australia.
The University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMask leak and airway obstruction are common with mask ventilation in newborn infants, leading to suboptimal ventilation. We aimed to perform a pilot study measuring respiratory mechanics during one-person and two-person mask ventilation in preterm infants at birth.

methodsInfants less than 30 weeks' gestation were eligible for the study. In the two-person method, one person holds the mask in place and the other provides positive pressure ventilation compared with the standard one-person mask hold. A respiratory function monitor was used in line with a T-piece resuscitator to measure mask leak and airway obstruction. Deferred consent was obtained.

resultsTwenty-five infants were recruited. The mean (SD) birth weight was 920.4 g (188.3), and mean (SD) gestational age was 27.3 weeks (3.0). Percentage mask leak was higher in the one-person mask method (26.4±18.5) compared with the two-person mask method (17.6±9.3) (p

conclusionMask leak and airway obstruction are common in resuscitation of preterm infants at birth. The use of the two-person mask technique is effective and it could be a useful option if mask ventilation with the one-person method is not effective. TRIAL REGISTRATION NUMBER: ACTRN12614000245695.

Indexed as

Airway ObstructionInfant, PrematureHumansInfantInfant, NewbornMasksPilot ProjectsRespirationNeonatologyResuscitation

Identifiers

PMID36746525
PMCPMC9906374
OpenAlexW4319333753

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.