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SHR Neuro Cancer Cardio Lipid Metab Microb

Schmölzer, GM; Morley, CJ; Wong, C; Dawson, JA; Kamlin, CO; Donath, SM; Hooper, SB; Davis, PG.
Respiratory function monitor guidance of mask ventilation in the delivery room: a feasibility study.
J Pediatr. 2012; 160(3):377-381 Doi: 10.1016/j.jpeds.2011.09.017
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Leading authors Med Uni Graz: Schmölzer Georg
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Abstract:: OBJECTIVE: To investigate whether using a respiratory function monitor (RFM) during mask resuscitation of preterm infants reduces face mask leak and improves tidal volume (V(T)). STUDY DESIGN: Infants receiving mask resuscitation were randomized to have the display of an RFM (airway pressure, flow, and V(T) waves) either visible or masked. RESULT: Twenty-six infants had the RFM visible, and 23 had the RFM masked. The median mask leak was 37% (IQR, 21%-54%) in the visible RFM group and 54% (IQR, 37%-82%) in the masked RFM group (P = .01). Mask repositioning was done in 19 infants (73%) of the visible group and in 6 infants (26%) of the masked group (P = .001). The median expired V(T) was similar in the 2 groups. Oxygen was provided to 61% of the visible RFM group and 87% of the RFM masked group (P = .044). Continuous positive airway pressure use was greater in the visible RFM group (73% vs 43%; P = .035). Intubation in the delivery room was done in 21% of the visible group and in 57% of the masked group (P = .035). CONCLUSION: Using an RFM was associated with significantly less mask leak, more mask adjustments, and a lower rate of excessive V(T). Copyright Ã© 2012 Mosby, Inc. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing): Delivery Rooms -; Feasibility Studies -; Humans -; Infant, Newborn -; Infant, Premature -; Intubation, Intratracheal -; Masks -; Monitoring, Physiologic -; Oxygen Inhalation Therapy -; Positive-Pressure Respiration - instrumentation; Respiration -; Resuscitation -; Tidal Volume -