Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Sep 2011
Randomized Controlled TrialPositive effects of early continuous positive airway pressure on pulmonary function in extremely premature infants: results of a subgroup analysis of the COIN trial.
Early continuous positive airway pressure (CPAP) may reduce lung injury in preterm infants. ⋯ Early CPAP is feasible, shortens the duration of respiratory support and results in improved lung mechanics and decreased work of breathing.
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 2011
Randomized Controlled TrialAirway obstruction and gas leak during mask ventilation of preterm infants in the delivery room.
Preterm infants with inadequate breathing receive positive pressure ventilation (PPV) by mask with variable success. The authors examined recordings of PPV given to preterm infants in the delivery room for prevalence of mask leak and airway obstruction. ⋯ Airway obstruction and face-mask leak are common during the first 2 min of PPV. An RFM enables detection of important airway obstruction and mask leak.
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2011
Randomized Controlled Trial Comparative StudyVentilator-delivered mask ventilation compared with three standard methods of mask ventilation in a manikin model.
Little is known regarding the variations in effective ventilation during bag and mask resuscitation with standard methods compared with that delivered by ventilator-delivered mask ventilation (VDMV). ⋯ During 3-min periods of mask ventilation on a manikin, VDMV produced the least variation in delivered ventilation. SIB produced wide variation and unacceptably high TV and MV in experienced hands.
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2011
Randomized Controlled Trial Comparative StudyMask leak in one-person mask ventilation compared to two-person in newborn infant manikin study.
To compare a new two-person method (four hands) of delivering mask ventilation with a standard one-person method using the Laerdal self-inflating bag (SIB) and the Neopuff (NP) infant resuscitator in a manikin model. ⋯ Two-person mask ventilation technique reduces mask leak by approximately 50% compared to the standard one-person mask ventilation method. NP mask ventilation has higher mask leak than Laerdal SIB for both single- and two-person technique mask ventilation.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2011
Randomized Controlled TrialHeart rate changes during resuscitation of newly born infants <30 weeks gestation: an observational study.
The International Liaison Committee on Resuscitation recommends starting positive pressure ventilation (PPV) in the delivery room when heart rate (HR) <100 beats per min (bpm) and giving cardiac compressions when HR <60 bpm. ⋯ It takes more than a minute for newly born infants <30 weeks gestation with a HR <100 bpm to achieve a HR above 100 bpm. In these infants HR does not stabilise until it reaches 120 bpm.