Oxygen delivery using self???inflating resuscitation bags

Airway Management and Mask Ventilation of the Newborn Infant. ARC and NZRC Guideline 2010

“…If a source of compressed oxygen is attached, selfinflating bags can deliver high concentrations of oxygen even if no reservoir bag or tube is attached, [23][24][25] and so cannot be relied on to deliver intermediate concentrations of oxygen. Because the flow of oxygen delivered to the infant is unreliable, [26][27][28] these devices should not be used to deliver free flow oxygen. The 240 mL self-inflating neonatal resuscitation bag is the most appropriate size for ventilating newborn infants of all sizes, despite suggestions to the contrary.…”

Techniques in Paediatric Advanced Life Support. ARC and NZRC Guideline 2010

“…Self-inflating resuscitation bags should not be used to deliver oxygen to the self-ventilating patient because minimal and unreliable amounts of oxygen are released passively from the patient exit valve despite introduction of high flow oxygen into the resuscitation bag. 2 If used to deliver oxygen to the spontaneously-breathing victim, an air-tight seal of the mask on the face is required, the one way delivery valve must be observed to open and ideally the reservoir bag observed to deflate periodically with self ventilation. An alternative method of oxygen delivery is desirable for the spontaneously breathing victim.…”

Paediatric advanced life support: Australian Resuscitation Council Guidelines 2006

“…Self-inflating resuscitation bags should not be used to deliver oxygen to the self-ventilating patient because minimal and unreliable amounts of oxygen are released from the patient valve despite introduction of high flow oxygen into the resuscitation bag 59 . An alternative method of oxygen delivery should be used.…”