Neonatal resuscitation 2: an evaluation of manual ventilation devices and face masks

被引:85
作者
O'Donnell, CPF
Davis, PG
Lau, R
Dargaville, PA
Doyle, LW
Morley, CJ
机构
[1] Royal Hosp Women, Melbourne, Vic 3053, Australia
[2] Royal Hobart Hosp, Hobart, Tas 7000, Australia
来源
ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION | 2005年 / 90卷 / 05期
关键词
D O I
10.1136/adc.2004.064691
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Background: The key to successful neonatal resuscitation is effective ventilation. Little evidence exists to guide clinicians in their choice of manual ventilation device or face mask. The expiratory tidal volume measured at the mask (V-TE(mask)) is a good estimate of the tidal volume delivered during simulated neonatal resuscitation. Aim: To compare the efficacy of (a) the Laerdal infant resuscitator and the Neopuff infant resuscitator, used with (b) round and anatomically shaped masks in a model of neonatal resuscitation. Methods: Thirty four participants gave positive pressure ventilation to a mannequin at specified pressures with each of the four device-mask combinations. Flow, inspiratory tidal volume at the face mask (V-TI(mask)), V-TE(mask), and airway pressure were recorded. Leakage from the mask was calculated from V-TI(mask) and V-TE(mask). Results: A total of 10 780 inflations were recorded and analysed. Peak inspiratory pressure targets were achieved equally with the Laerdal and Neopuff resuscitators. Positive end expiratory pressure was delivered with the Neopuff but not the Laerdal device. Despite similar peak pressures V-TE(mask) widely. Mask leakage was large or each combination of device and mask. There were no differences between the masks. Conclusion: During face mask ventilation of a neonatal resuscitation mannequin, there are large leaks around the face mask. Airway pressure is a poor proxy for volume delivered during positive pressure ventilation through a mask.
引用
收藏
页码:F392 / F396
页数:5
相关论文
共 18 条
[1]  
DAVIES VA, 1985, S AFR MED J, V68, P19
[2]   EFFICIENCY OF MANUAL RESUSCITATORS AT BIRTH [J].
FIELD, D ;
MILNER, AD ;
HOPKIN, IE .
ARCHIVES OF DISEASE IN CHILDHOOD, 1986, 61 (03) :300-302
[3]   Comparison of methods of bag and mask ventilation for neonatal resuscitation [J].
Finer, NN ;
Wade, RA ;
Craft, A ;
Henderson, C .
RESUSCITATION, 2001, 49 (03) :299-305
[4]   A SIMPLE METHOD OF FACE MASK RESUSCITATION AT BIRTH [J].
HOSKYNS, EW ;
MILNER, AD ;
HOPKIN, IE .
ARCHIVES OF DISEASE IN CHILDHOOD, 1987, 62 (04) :376-378
[5]   EVALUATION OF MASK-BAG VENTILATION IN RESUSCITATION OF INFANTS [J].
KANTER, RK .
AMERICAN JOURNAL OF DISEASES OF CHILDREN, 1987, 141 (07) :761-763
[6]   ILCOR advisory statement: Resuscitation of the newly born infant - An advisory statement from the Pediatric Working Group of the International Liaison Committee on Resuscitation [J].
Kattwinkel, J ;
Niermeyer, S ;
Nadkarni, V ;
Tibballs, J ;
Phillips, B ;
Zideman, D ;
Van Reempts, P ;
Osmond, M .
PEDIATRICS, 1999, 103 (04)
[7]  
Kattwinkel J., 2000, NEONATAL RESUSCITATI
[8]  
Mackway-Jones K., 2001, ADV PAEDIAT LIFE SUP, V3rd ed
[9]   EFFICACY OF FACEMASK RESUSCITATION AT BIRTH [J].
MILNER, AD ;
VYAS, H ;
HOPKIN, IE .
BRITISH MEDICAL JOURNAL, 1984, 289 (6458) :1563-1565
[10]  
Niermeyer S, 2000, PEDIATRICS, V106