Barriers to adoption of respiratory function monitors in neonatal resuscitation

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Respiratory function monitors (RFMs) provide real-time data during neonatal resuscitation but are not widely adopted due to limited evidence and guideline endorsement.
2

Randomized controlled trials show RFMs may reduce brain injury and intraventricular hemorrhage, but major resuscitation bodies do not recommend their routine use.
3

Insufficient training in waveform interpretation and uncertainty in decision-making are barriers to RFM uptake, despite positive feedback from clinicians when trained.
4

Interface design of RFMs is critical, as complex displays can hinder rapid decision-making during neonatal resuscitation, emphasizing the need for intuitive designs.
5

Developing RFMs requires collaboration between clinicians and engineers to ensure devices meet market needs, but many RFMs have been withdrawn due to low adoption.

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