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Face mask ventilation - the dos and don'ts
被引:22
|作者:
Wood, Fiona E.
[1
]
Morley, Colin J.
[2
]
机构:
[1] James Cook Univ Hosp, Dept Neonatal Med, Middlesbrough TS4 3BW, Cleveland, England
[2] Univ Cambridge, Addenbrookes Hosp, Dept Obstet & Gynaecol, Cambridge CB2 0QQ, England
来源:
SEMINARS IN FETAL & NEONATAL MEDICINE
|
2013年
/
18卷
/
06期
关键词:
Continuous positive airway pressure;
Infant;
Masks;
Positive end-expiratory pressure;
Positive pressure ventilation;
Resuscitation;
POSITIVE-PRESSURE VENTILATION;
END-EXPIRATORY PRESSURE;
NEONATAL RESUSCITATION;
TIDAL VOLUME;
MANUAL VENTILATION;
NEWBORN-INFANTS;
PRETERM INFANTS;
AIRWAY;
BIRTH;
DELIVERY;
D O I:
10.1016/j.siny.2013.08.009
中图分类号:
R72 [儿科学];
学科分类号:
100202 ;
摘要:
Face mask ventilation provides respiratory support to newly born or sick infants. It is a challenging technique and difficult to ensure that an appropriate tidal volume is delivered because large and variable leaks occur between the mask and face; airway obstruction may also occur. Technique is more important than the mask shape although the size must appropriately fit the face. The essence. of the technique is to roll the mask on to the face from the chin while avoiding the eyes, with a finger and thumb apply a strong even downward pressure to the top of the mask, away from the stem and sloped sides or skirt of the mask, place the other fingers under the jaw and apply a similar upward pressure. Preterm infants require continuous end-expiratory pressure to facilitate lung aeration and maintain lung volume. This is best done with a T-piece device, not a self-inflating or flow-inflating bag. (C) 2013 Elsevier Ltd. All rights reserved.
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页码:344 / 351
页数:8
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