Devices for ventilation in resuscitation

[Mfbasir]

1- a or c

2- except pulse O2

3- musk

[Emilio Escobar]

Good evening everyone, God bless you all.

1.- A

2.- No

3.- Mask

 

[newborn]

1. A will be C soon

2. Vte if possible, but usually PIP through non-invasive approaches.

3. RAM cannula if preterm and ETT if indicated for all.

[Emilio Escobar]

i see a new devide called NEO TEE, is this sure for terms and preterms babies?. What do you say about Laerdal air bag (with PEEP)?

[Francesco Cardona]

17 hours ago, Emilio Escobar said:

i see a new devide called NEO TEE, is this sure for terms and preterms babies?. What do you say about Laerdal air bag (with PEEP)?

We use the Neo TEE here in Vienna as an alternative for bag-mask-ventilation on our unit. It works, but is a bit more frail and I am not sure about reliability. In studies it does ok.

[Pontus Johansson]

I´ve never used the Neo tee, but other T-piece resuscitators which work fine, especially in preterm babies but I was a bit concerned reading this article showing that some devices do not deliver set PIP at all times https://fn.bmj.com/content/104/2/F122.abstract   

A so called PEEP valve on a bag in my opinion does not create a sufficient (or any...) PEEP. You need some kind of device with a flow. Maybe in a term baby using a 500 ml bag and slowly squeezing the bag keeping FRC, but still you don´t know the amount of PEEP.

A good adjunct in this situation could be to to use a Respiratory Function Monitor as whatever device you use you don´t know the leakage or more important the tidal volume. Even if the PIP is set the compliance changes and suddenly you might ventilate with to large VTe harming the baby.