Methods：Eleven participants（ 3 residents and 8 nurses） in 2 consecutive Japanese version of neonatal resuscitation program （NRP） training courses were enrolled and presented with the 2 standardized basic scenarios （positive pressure mask ventilation （PPMV） and PPMV plus chest compression in term babies with clear amniotic fluid）. Adherence to NRP algorithm and time to accomplish the scenarios were evaluated by comparison of the control resuscitation, in which management was performed from memory and reference to an NRP algorithm poster, to the intervention resuscitation, in which management was performed based on the operating guide software during low-fidelity simulated neonatal resuscitation.
Results：Time to accomplish the scenario was significantly reduced in the intervention resuscitation when compared to the control resuscitation （mean 199.5 sec versus 227.6 sec, p＜0.004）. The accomplishment times for PPMV scenario in the control resuscitation were negatively correlated with the participants’ pre-test scores examined at the opening of the training courses（ r＝－0.64, p＜0.05）, whereas those in the intervention resuscitation were not.
In the control resuscitation, only 55.7% of the decisions during the PPMV scenario were properly made, and no assessment or task for which a participant made proper decision was observed. In contrast, all decisions except one（ 98.9%） induced by a simple screen touch error for the guide software were made properly in the intervention resuscitation.
Conclusions：Using the guide software during simulated neonatal resuscitation scenarios significantly improved adherence to NRP algorithm and speed for resuscitation. This software might be successfully applicable to actual neonatal resuscitation irrespective of the level of operator’s resuscitation experience.
