Simulation-Based Neonatal Resuscitation Education for Undergraduate Anesthesia Students: A Pre- and Post-Evaluation of Knowledge and Clinical Skills
Table 5
Comparison of pre-intervention and post-intervention knowledge of appropriate decisions and actions for neonatal resuscitation of undergraduate final-year anesthesia students (N = 51).
S. no
Items
Students’ performance
Pre-intervention, n (%)
Post-intervention, n (%)
Improvement rate (%)
-value
1
The correct order of initial resuscitation measures includes keeping warm, sucking, drying, and stimulation
35(68.6)
37(72.5)
3.9
0.54
2
Determination of APGAR score is the first step in neonatal resuscitation
31(60.8)
41(78.4))
17.6
0.001
3
The first step in neonatal resuscitation is warming and the infant up
32(62.7)
33(64.7)
2
0.75
4
Hydrocortisone injection is important in neonatal resuscitation
30(58.8)
40(78.4)
19.6
0.001
5
One pre-warmed towel is adequate for neonatal resuscitation
30(58.8)
49(96.1)
37.3
<0.001
6
The nose of the newborn infant should be suctioned before the mouth
27(52.9)
28 (54.9)
2
0.75
7
The Ambu-bag appropriate for the newborn must cover the nose, mouth, and chin
48(94.1)
51(100)
5.9
0.54
8
Suctioning of the airways should be continuous when secretions in the airway are “excessive”
45(88.2)
45(88.2)
0
0.99
9
Chest compression must be accompanied by Ambu-bagging
46(90.2)
51(100)
9.8
0.34
10
Holding aloft and slapping the buttocks is an acceptable way to stimulate an apneic baby
33(64.7)
39(76.5)
11.8
0.10
11
The best way to assess the success of Ambu-bagging is to observe a rise of a fall in the chest wall
45(88.2)
51(100)
11.8
0.10
12
Exposure to heat may stimulate a newborn baby who has apnea
41(80.4)
41(80.4)
0
0.99
13
During Ambu-bagging, breaths should be delivered at a rate of 40–60/minute
33(64.7)
37(72.5)
7.8
0.3
14
When co-coordinating ventilation and chest compression, one session of ventilation is done after every 3 chest compressions
41(80.4)
51(100)
19.6
0.001
15.
Number of students who had adequate knowledge (scored ≥75%) on appropriate decisions and actions in neonatal resuscitation
37 (73.4)
42 (83.1)
9.7
0.32
N = total number of students; n = number of students who answered the given questions “correctly.”
