Delivering Free-flow Oxygen

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Presentation transcript:

Delivering Free-flow Oxygen Oxygen mask Flow-inflating bag and mask T-piece resuscitator Oxygen tubing

Free-flow Oxygen Given Via Oxygen Mask

Free-flow Oxygen Given Via Oxygen Mask

Free-flow Oxygen Given Via T-piece Resuscitator

Free-flow Oxygen Given Via Oxygen Tubing

Free-flow Oxygen Given Via Oxygen Tubing

Types of Positive-Pressure Devices Self-inflating bag Flow-inflating bag (anesthesia bag) T-piece resuscitator Types of Positive-Pressure Devices

Self-inflating Bag

Self-inflating Bag

Flow-inflating Bag

T-piece Resuscitator

Safety Features: Self-inflating Bags With Pressure-release Valve

Safety Features: Flow-inflating Bag

Safety Features: T-piece Resuscitator

Resuscitation Masks Resuscitation Masks Rim Shape Size - Cushioned - Non-cushioned Shape - Round - Anatomically shaped Size - Small - Large Resuscitation Masks

Resuscitation Masks: Round Shape Disadvantages If the correct size is not selected, a seal can not form If the mask is too large, eye damage may develop

Resuscitation Masks: Anatomically Shaped Advantages Easier to obtain a seal Less chance of eye damage

Resuscitation Masks Size Mask should cover Small Large Tip of chin Mouth Nose

Resuscitation Masks: Size The correct size will cover the tip of the chin, the mouth, and the nose but not the eyes. Too large → Eye damage Too small → Will not cover the mouth and nose and may occlude the nose.

Size of Bag Bags used for newborns should have a volume of 200 to 750 mL. Term neonates only require 15 to 25 ml with each ventilation (5-8 mL/kg).

Preparation Checklist Before beginning PPV: Select appropriate-sized mask Be sure airway is clear Position baby’s head Position yourself at baby’s side or head

Positioning Mask on Face

Ventilation Rate 40-60 breaths per minute

Signs of Improvement Signs of Improvement Improvement is indicated by the following signs: Increasing heart rate Improving color Spontaneous breathing Improving muscle tone Signs of Improvement

Infant Not Improving and Chest Not Adequately Expanding Possible causes Inadequate seal Blocked airway Inadequate pressure

Causes and Solutions for Inadequate Chest Expansion Conditions Actions 1.Inadequate seal Reapply mask to face and lift the jaw forward.

Causes and Solutions for Inadequate Chest Expansion Reapply mask to face

Causes and Solutions for Inadequate Chest Expansion Lift the jaw forward

Causes and Solutions for Inadequate Chest Expansion Conditions Actions 2. Blocked airway Reposition the head. Check for secretions; suction if necessary. Ventilate with the newborn’s mouth slightly open.

Causes and Solutions for Inadequate Chest Expansion Conditions Actions 3. Inadequate pressure Increase pressure until there is a perceptible movement of the chest. Consider endotracheal intubation.

Continued Positive-Pressure Ventilation Orogastric tube should be inserted to relieve gastric distention Gastric distention may Elevate diaphragm, preventing full lung expansion Cause regurgitation and aspiration

Continued PPV

Insertion of Orogastric Tube Equipment 8F feeding tube 20-mL syringe

Insertion of Orogastric Tube Measuring correct length

Insertion of Orogastric Tube Insert tube through mouth. Resume ventilation Attach 20-mL syringe and aspirate gently Remove syringe and leave tube end open to air Tape tube to newborn’s cheek Insertion of Orogastric Tube