Archives of Disease in Childhood - Fetal and Neonatal Edition 2005;90:F392-F396
ORIGINAL ARTICLE
Neonatal resuscitation 2: an evaluation of manual ventilation devices and face masks
1 Royal Womens Hospital Melbourne, Victoria 3053, Australia
2 Royal Hobart Hospital, Hobart, Tasmania 7000, Australia
Correspondence to:
Dr ODonnell
Royal Womens Hospital Melbourne, 132 Grattan Street, Carlton, Victoria 3053, Australia; colm.odonnell{at}rwh.org.au
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 (VTE(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 (VTI(mask)), VTE(mask), and airway pressure were recorded. Leakage from the mask was calculated from VTI(mask) and VTE(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, VTE(mask) varied widely. Mask leakage was large for 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.
Abbreviations: PEEP, positive end expiratory pressure; PIP, peak inspiratory pressure; PPV, positive pressure ventilation; VTE(mask), expiratory tidal volume at the mask; VTI(mask), inspiratory tidal volume at the mask
Keywords: resuscitation; artificial respiration; ventilation devices; face masks
![]()
CiteULike
Complore
Connotea
Del.icio.us
Digg
Reddit
Technorati What's this?
This article has been cited by other articles:
-
Hawkes, C P, Oni, O A, Dempsey, E M, Ryan, C A
(2009). Potential hazard of the Neopuff T-piece resuscitator in the absence of flow limitation. Arch. Dis. Child. Fetal Neonatal Ed.
94: F461-F463
[Abstract] [Full Text] -
Kattwinkel, J., Stewart, C., Walsh, B., Gurka, M., Paget-Brown, A.
(2009). Responding to Compliance Changes in a Lung Model During Manual Ventilation: Perhaps Volume, Rather Than Pressure, Should be Displayed. Pediatrics
123: e465-e470
[Abstract] [Full Text] -
Bry, K.
(2008). Newborn Resuscitation and the Lung. NeoReviews
9: e506-e512
[Abstract] [Full Text] -
Wood, F E, Morley, C J, Dawson, J A, Davis, P G
(2008). A respiratory function monitor improves mask ventilation. Arch. Dis. Child. Fetal Neonatal Ed.
93: F380-F381
[Abstract] [Full Text] -
Morley, C. J, Davis, P. G
(2008). Advances in neonatal resuscitation: supporting transition. Arch. Dis. Child. Fetal Neonatal Ed.
93: F334-F336
[Full Text] -
Wood, F. E, Morley, C. J, Dawson, J. A, Kamlin, C O. F, Owen, L. S, Donath, S., Davis, P. G
(2008). Improved techniques reduce face mask leak during simulated neonatal resuscitation: study 2. Arch. Dis. Child. Fetal Neonatal Ed.
93: F230-F234
[Abstract] [Full Text] -
Wood, F. E, Morley, C. J, Dawson, J. A, Kamlin, C O. F, Owen, L. S, Donath, S., Davis, P. G
(2008). Assessing the effectiveness of two round neonatal resuscitation masks: study 1. Arch. Dis. Child. Fetal Neonatal Ed.
93: F235-F237
[Abstract] [Full Text] -
te Pas, A. B., Walther, F. J.
(2007). A Randomized, Controlled Trial of Delivery-Room Respiratory Management in Very Preterm Infants. Pediatrics
120: 322-329
[Abstract] [Full Text]
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.



