18Resuscitation Masks: Round Shape DisadvantagesIf the correct size is not selected, a seal can not formIf the mask is too large, eye damage may develop
19Resuscitation Masks: Anatomically Shaped AdvantagesEasier to obtain a sealLess chance of eye damage
20Resuscitation Masks Size Mask should cover Small Large Tip of chin MouthNose
21Resuscitation Masks: Size The correct size will cover the tip of the chin, the mouth, and the nose but not the eyes.Too large → Eye damageToo small → Will not cover the mouth and nose and may occlude the nose.
28Signs of Improvement Signs of Improvement Improvement is indicated by the following signs:Increasing heart rateImproving colorSpontaneous breathingImproving muscle toneSigns of Improvement
29Infant Not Improving and Chest Not Adequately Expanding Possible causesInadequate sealBlocked airwayInadequate pressure
30Causes and Solutions for Inadequate Chest Expansion ConditionsActions1.Inadequate sealReapply mask to face and lift the jaw forward.
31Causes and Solutions for Inadequate Chest Expansion Reapply mask to face
32Causes and Solutions for Inadequate Chest Expansion Lift the jaw forward
33Causes and Solutions for Inadequate Chest Expansion ConditionsActions2. Blocked airwayReposition the head.Check for secretions; suction if necessary.Ventilate with the newborn’s mouth slightly open.
34Causes and Solutions for Inadequate Chest Expansion ConditionsActions3. Inadequate pressureIncrease pressure until there is a perceptible movement of the chest.Consider endotracheal intubation.
35Continued Positive-Pressure Ventilation Orogastric tube should be inserted to relieve gastric distentionGastric distention mayElevate diaphragm, preventing full lung expansionCause regurgitation and aspiration
37Insertion of Orogastric Tube Equipment8F feeding tube20-mL syringe
38Insertion of Orogastric Tube Measuring correct length
39Insertion of Orogastric Tube Insert tube through mouth. Resume ventilationAttach 20-mL syringe and aspirate gentlyRemove syringe and leave tube end open to airTape tube to newborn’s cheekInsertion of Orogastric Tube