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Improving the safety profile of the Neopuff with an external flow restrictor
  1. C A Ryan,
  2. C P Hawkes,
  3. E M Dempsey
  1. Department of Neonatology, Cork University Maternity Hospital, Cork, Ireland
  1. Correspondence to Professor C A Ryan, Department of Neonatology, Cork University Maternity Hospital, Cork, Ireland; tony.ryan{at}

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We thank Professor Morley’s team for a succinct summary (see page 467) of the clinical messages of our paper.1

The crux of the Neopuff safety predicament, as we have reported, is the absence of gas-flow limitation. We do not have faith in the ability of human beings, no matter how much training they have, to avoid potential life threatening errors: we prefer systems controls. One solution to avoid excessive pressures in …

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  • Competing interests None.

  • Provenance and Peer review Not commissioned; not externally peer reviewed

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