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Archives of Disease in Childhood - Fetal and Neonatal Edition 2009;94:F467-F468; doi:10.1136/adc.2009.170324
Copyright © 2009 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

POSTSCRIPT

Potential hazards of the Neopuff: using appropriate gas flow

C J Morley1,2,3, G M Schmölzer1,2,3, P G Davis1,2,3

1 Neonatal Services, The Royal Women’s Hospital, Melbourne, Australia
2 Murdoch Children Research Institute, Melbourne, Australia
3 Department of Obstetrics & Gynaecology, The University of Melbourne, Melbourne, Australia

Correspondence to:
Correspondence to Professor C Morley, 23 High Street, Great Shelford, Cambridge CB22 5EH, UK; colin@morleys.net

Accepted 6 August 2009

The first 150 words of the full text of this article appear below.

Regarding Potential hazard of the Neopuff (see page 461),1 Dr Hawkes is right: if a gas flow meter is used with the Neopuff that will deliver very high flows when turned up to its maximum flow, which may be over 80 l/min, when the flow is increased above the set level dangerously high levels of PIP and PEEP will be delivered.

What is not commonly known is that some flow meters used in neonatal care that are marked to deliver a flow from 0 to 15 l/min can deliver flows up to 80 l/min, which will overwhelm the pressure control valves in the Neopuff. A flow meter that can deliver a maximum gas flow above 15 l/min should never be used with the Neopuff.

The practical message for all who use the Neopuff is that it should be used according to the manufacturer’s instructions.

  1. The recommended operating gas . . . [Full text of this article]


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Potential hazard of the Neopuff T-piece resuscitator in the absence of flow limitation
C P Hawkes, O A Oni, E M Dempsey, and C A Ryan
Arch. Dis. Child. Fetal Neonatal Ed. 2009 94: F461-F463. [Abstract] [Full Text] [PDF]

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