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- Title
Dispositivi manuali o meccanici per la ventilazione nella rianimazione neonatale: una revisione narrativa.
- Authors
RIGHI, LORENZO; CINI, SILVIA; GRIMALDI, AUGUSTA ANGELICA; TRAPASSI, STEFANO
- Abstract
Introduction: The ventilation during neonatal resuscitation is a fundamental phase of the whole process, since the stabilization, as soon as possible, of the ventilatory mechanics in a newborn, as well as being fundamental for the life, protects it from any damage to the central nervous system and peripheral caused by prolonged hypoxia. It can be delivered manually, with the self-insufflating flask or the dependent flow flask, or automatically through mechanical devices, such as the T-resuscitator. The substantial difference between the two approaches is that in the first one, ventilation is supplied by the operator, while in the second from the car. So it is essential to know if the human factor is the cause of ineffective ventilation and if there are accessory devices that help to quantify the volumes and pressures of the supply of ventilation through a manual device. Methods: The aim of this work is understand if during a neonatal resuscitation, the manual and automatic devices are equivalent in terms of volumes and pressures and if the human factor affects the delivery of ventilation. A narrative review of the literature was conducted through the Medline, Cinahl, Scopus and Google scholar databases. Results: A total of 16 articles were included in the review, from whose analysis three main themes emerged: The analysis and comparison of the physical characteristics of the manual devices (selfinflanting balloon and flow-dependent balloon) and the automatic device (T-resuscitator), the weight of the human factor in the supply of ventilation with manual devices and the use of the pressure gauge as an accessory device to manual devices to equate the performance of both types of devices. Conclusions: The two types of devices analyzed are equally valid, as the values of pressure and insufflated volume fall within the reference ranges, the use of one or the other type is strictly connected to the clinical case that presents itself. The presence of the human factor does not affect the efficiency of the ventilation provided and the addition of a pressure gauge to the manual devices and refresher courses on the method of neonatal resuscitation, will always improve the performance of the manual devices.
- Subjects
CINAHL database; INTUBATION; MEDLINE; RESUSCITATION; SYSTEMATIC reviews; POSITIVE pressure ventilation; CHILDREN
- Publication
SCENARIO: Official Italian Journal of ANIARTI, 2020, Vol 37, Issue 3, p5
- ISSN
1592-5951
- Publication type
Article