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- Title
Providing PEEP during neonatal resuscitation: Which device is best?
- Authors
Dawson, Jennifer A; Gerber, Angela; Kamlin, C Omar F; Davis, Peter G; Morley, Colin J
- Abstract
Aim: The study aims to compare three commonly used neonatal resuscitation devices, the Laerdal self-inflating bag with a positive end expiratory pressure (PEEP) valve, a T-piece resuscitator (T-piece) and a flow-inflating bag to provide peak inflation pressure (PIP) and PEEP. Methods: Participants were asked to use each device to give positive pressure ventilation to a modified neonatal mannequin via a face mask to achieve 40-60 inflations per minute, aiming for a PIP/PEEP of 30/5 cm H2O. A manometer was visible to participants with each device. PIP, PEEP, percentage leak at the face mask and expired tidal volume were measured using a hot-wire anemometer. We analysed 20 inflations from each participant for each device. Results: Fifty participants provided PIP and PEEP with each device. The T-piece was the most accurate and consistent. The flow-inflating bag had the most variation. The leak was lowest with the self-inflating bag and PEEP and highest with the flow-inflating bag, but all had wide variation. Conclusion: Each device was able to provide PIP and PEEP when used appropriately. When compared with other resuscitation devices, the T-piece provided the most accurate and consistent PIP and PEEP.
- Subjects
RESUSCITATION; NEONATAL intensive care; PRESSURE breathing; MANOMETERS; NEWBORN infants
- Publication
Journal of Paediatrics & Child Health, 2011, Vol 47, Issue 10, p698
- ISSN
1034-4810
- Publication type
Article
- DOI
10.1111/j.1440-1754.2011.02036.x