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Oxygen mask Flow-inflating bag and mask T-piece resuscitator Oxygen tubing 1
Self-inflating bag Flow-inflating bag (anesthesia bag) T-piece resuscitator
Rim - Cushioned - Non-cushioned Shape - Round - Anatomically shaped Size - Small - Large
Disadvantages If the correct size is not selected, a seal can not form If the mask is too large, eye damage may develop
Advantages Easier to obtain a seal Less chance of eye damage
Size Small Large Mask should cover Tip of chin Mouth Nose
The correct size will cover the tip of the chin, the mouth, and the nose but not the eyes. Too large → Eye damage Too small → Will not cover the mouth and nose and may occlude the nose.
Bags used for newborns should have a volume of 200 to 750 mL. Term neonates only require 15 to 25 ml with each ventilation (5-8 mL/kg).
Before beginning PPV: Select appropriate-sized mask Be sure airway is clear Position baby’s head Position yourself at baby’s side or head
40-60 breaths per minute
Improvement is indicated by the following signs: Increasing heart rate Improving color Spontaneous breathing Improving muscle tone
Possible causes Inadequate seal Blocked airway Inadequate pressure 29
ConditionsActions 1.Inadequate seal Reapply mask to face and lift the jaw forward.
Reapply mask to face
Lift the jaw forward
ConditionsActions 2. Blocked airwayReposition the head. Check for secretions; suction if necessary. Ventilate with the newborn’s mouth slightly open.
ConditionsActions 3. Inadequate pressure Increase pressure until there is a perceptible movement of the chest. Consider endotracheal intubation.
Orogastric tube should be inserted to relieve gastric distention Gastric distention may Elevate diaphragm, preventing full lung expansion Cause regurgitation and aspiration
Equipment 8F feeding tube 20-mL syringe
Measuring correct length
Insert tube through mouth. Resume ventilation Attach 20-mL syringe and aspirate gently Remove syringe and leave tube end open to air Tape tube to newborn’s cheek
BAG & MASK VENTILATION. Indications Apneic or gasping following initial steps and tactile stimuloation HR<100/min in a spontaneously breathing baby Spontaneously.
Positive pressure ventilation Ventilation of the lungs single most important and most effective step in cardiopulmonary resuscitation of the compromised.
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1 © 2013 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license.
Manual resuscitators case study Manual resuscitators case study by Elizabeth Kelley Buzbee RRT RCP-NPS RCP Kingwood College Respiratory Care department.
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NEONATAL FLOW ALGORITHM BIRTHBIRTH Term gestation? Amnlotic fluid clear? Breathing or crying? Good muscle tone?u Provide warmth Position clear airway*
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2 King LT-D Airway It is a supraglottic device Also known as a blind insertion Airway Device (BIAD) Proximal cuff blocks oropharynx Distal cuff blocks.
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