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Providing PEEP during neonatal resuscitation: Which device is best?
- Source :
-
Journal of Paediatrics & Child Health . Oct2011, Vol. 47 Issue 10, p698-703. 6p. 1 Chart, 1 Graph. - Publication Year :
- 2011
-
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. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 10344810
- Volume :
- 47
- Issue :
- 10
- Database :
- Academic Search Index
- Journal :
- Journal of Paediatrics & Child Health
- Publication Type :
- Academic Journal
- Accession number :
- 66607551
- Full Text :
- https://doi.org/10.1111/j.1440-1754.2011.02036.x