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The process of bag mask ventilation in neonatal resuscitation is the same regardless of the device chosen.
Bag and mask ventilation neonatal resuscitation. Providing effective positive pressure ventilation is considered to be the single most important component of successful neonatal resuscitation. Kelm m fischer hs et al. In conclusion during neonatal bag and mask ventilation mask leak is small when applied by experienced caregivers but is large when it is given by inexperienced caregivers. Mucus or secretions should be suction from the nose and mouth before starting positive pressure ventilation and as needed throughout the procedure.
Ventilation of the lungs is the single most important cardiopulmonary resuscitation of the compromised newborn baby. Manual ventilation devices in neonatal resuscitation. In addition the use of prolonged inflation may be of benefit for infants who require bag and mask ventilation and. Lma can achieve effective ventilation during neonatal resuscitation in a time frame consistent with current neonatal resuscitation guidelines.
The resuscitation mask range by fisher paykel healthcare includes masks of 35mm and 42 mm diameter which are amongst the smallest masks currently available on the market. Start positive pressure ventilation within 1 minute after birth. To our knowledge there has been no comparison of the ability of different operators to utilize such devices for the delivery of predetermined inspiratory and end expiratory pressures. Choose the correct size self inflating bags for the baby with connected oxygen.
A two minute training with a few key points significantly decreased mask leak to acceptable levels in both experienced and inexperienced caregivers. Tidal volume and positive pressure. Bag mask ventilation is preferable to mouth to mask ventilation or tube to mask ventilation during neonatal resuscitation but one of the latter two should be used when bag mask devices are not available. Cut the umbilical cord and shift the baby to a better place for bag mask ventilation.
Ventilation is frequently initiated manually with bag and face mask bmv followed by endotracheal intubation if respiratory depression continues. Compared to bmv lma is more effective in terms of shorter resuscitation and ventilation times and less need for endotracheal intubation low to moderate quality evidence. The neonatal resuscitation program. However in trials comparing lma with bmv over 80 of infants in both trial.
Laryngeal mask airway should be considered if bag and mask ventilation is unsuccessful and if endotracheal intubation is unsuccessful or not feasible5 6. Bag valve mask photo courtesy mercury medical. With a reservoir.
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