Improved techniques reduce face mask leak during simulated neonatal resuscitation: study 2

Abstract

Written instruction and demonstration of the identified optimal technique resulted in significantly reduced face mask leak.

Ventilación del recién nacido: comparación entre un reanimador con pieza en t y bolsas autoinflables en un simulador de neonato prematuro

“…3 Un factor clave, anteriormente demostrado, para lograr suministrar una ventilación eficiente con máscara facial para todos los tipos de dispositivos, es el sello entre la máscara y la cara del paciente. [10][11][12][13] Una limitante en este estudio es que no se pudo medir la pérdida, pero este factor se tuvo en cuenta y cada operador recibió recomendaciones para lograr un sellado óptimo realizan-…”

Part 11: Neonatal Resuscitation

“…Studies in manikins and animals (LOE 5 63,64 ) suggest that providers cannot maintain constant pressures or assess delivered volume during manual ventilation. The position of the mask and degree of leak may be improved by the use of a volume monitor (LOE 5 65 ).…”

Mask Versus Nasal Tube for Stabilization of Preterm Infants at Birth: A Randomized Controlled Trial

“…If the infant was randomly assigned to the face mask, a size 00 Laerdal (Laerdal Medical, Stavanger, Norway) soft silicone (Fig 3) round mask was applied by using the 2-point top-hold technique. 7 If the infant had poor respiratory effort and/or a heart rate (HR) ,100 beats per minute, the team commenced PPV and/ or PEEP/CPAP using the allocated interface. If the infant had no or minimal respiratory effort, an initial sustained inflation (SI) was provided (LUMC: 10 seconds SI; RWH: 3 inflations each of 5 seconds duration).…”

“…5 However, during the application of manual positive-pressure ventilation (PPV) to infants, leaks around the face mask are common and obstruction of the upper airway may occur, leading to inadequate ventilation. [6][7][8][9][10] Mask leak and obstruction during mask PPV are often not recognized. 8,9,11 They may compromise the delivery of the set positive end-expiratory pressure (PEEP) and appropriate tidal volumes, resulting in delayed establishment of effective gas exchange.…”