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Potential hazards of the Neopuff: using appropriate gas flow
  1. C J Morley1,2,3,
  2. G M Schmölzer1,2,3,
  3. P G Davis1,2,3
  1. 1
    Neonatal Services, The Royal Women’s Hospital, Melbourne, Australia
  2. 2
    Murdoch Children Research Institute, Melbourne, Australia
  3. 3
    Department of Obstetrics & Gynaecology, The University of Melbourne, Melbourne, Australia
  1. Correspondence to Professor C Morley, 23 High Street, Great Shelford, Cambridge CB22 5EH, UK; colin{at}

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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 …

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  • Funding The research is supported by Australian National Health and Medical Research Council Program Grant No 384100. GMS is supported in part by a Royal Women’s Hospital Postgraduate Research Degree Scholarship, a Monash Graduate Scholarship and Monash International Postgraduate Research Scholarship. PGD is supported in part by an Australian National Health and Medical Research Council Practitioner Fellowship.

  • Competing interests None.

  • Provenance and Peer review Not commissioned; externally peer reviewed

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