sustained lung inflation

[vito62]

What's your experience about SLI applied to preterms at delivery room? What's your setting? (I mean time and pressure)

[Stefan Johansson]

We use Neopuff in the delivery room and use 4 cm H2O as the general PEEP setting. It's hard to control inspiratory time during manual ventilation (...) but we instruct new fellows to close the circuit with "brief" movements (sort of short inspir time )

[Francesco Cardona]

We use Neopuff as well in 28wks plus and try to give sustained inflations (about 2sec per inspiration) and 6-8cm H2O as PEEP

for the smaller ones we use a Benveniste system to apply high PEEP and flow - it is not possible to apply ventilations with this system though..

[vito62]

http://content.karger.com/ProdukteDB/produkte.asp?Doi=298312

I mean this kind of SLI, delivered by neopuff

[peppepag]

We use 25 mmHg for 15 seconds with neopuff.

Population all preterm < 32 weeks. Great results!!

Since we use it we have reduced use of surfactant but before SLi application we don't aspire the upper airways (there is a lot of surfactant inside them).

bye

Peppe