Augmented Infant Resuscitator (AIR)

Mbarara University of Science and Technology
Organization Location: 
Mbarara, Uganda

1.8 million Stillbirths and newborn deaths occur annually due to oxygen deprivation, but up to 70% of these deaths are avoidable by effective ventilation at birth. Unfortunately, one in five of the best-trained health workers fail to effectively ventilate babies and those that do, experience a rapid decline in proficiency. Every 30 second delay to ventilate a baby at birth increases the risk of death by 16%. The common causes of ineffective ventilation are: 1. Failed seal at the face-mask, 2. Blocked airways, and 3. Incorrect ventilation frequency. Our Augmented Infant Resuscitator (AIR) addresses these challenges. AIR measures and provides instant feedback on ventilation quality to enable self-training, skills retention, rapid corrective feedback during ventilation, and data acquisition vital for program evaluations. A feasibility and acceptability trial of the AIR showed: excellent breath rate agreement between AIR and video recordings (Pearson coefficient of 0.8449); agreement between a Marquet Servo-i Pediatric ventilator and measurements by AIR; and significant user-acceptability and demand for AIR. We will determine the impact of AIR’s real time feedback on skills acquisition and retention, and its attributable effect on resuscitation quality. After small-scale manufacture, we will collect post deployment use and failure mode data vital for regulatory approvals and wide scale adoption.

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