Download - Delivering Free-flow Oxygen
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Delivering Free-flow Oxygen
Oxygen maskFlow-inflating bag and maskT-piece resuscitatorOxygen tubing
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Free-flow Oxygen Given Via Oxygen Mask
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Free-flow Oxygen Given Via Oxygen Mask
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Free-flow Oxygen Given Via T-piece Resuscitator
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Free-flow Oxygen Given Via Oxygen Tubing
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Free-flow Oxygen Given Via Oxygen Tubing
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Types of Positive-Pressure Devices
Self-inflating bagFlow-inflating bag (anesthesia bag)
T-piece resuscitator
Types of Positive-Pressure Devices
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Self-inflating Bag
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Self-inflating Bag
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Flow-inflating Bag
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T-piece Resuscitator
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Safety Features: Self-inflating Bags With Pressure-release Valve
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Safety Features: Flow-inflating Bag
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Safety Features: T-piece Resuscitator
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Resuscitation Masks
Rim- Cushioned- Non-cushioned
Shape- Round- Anatomically shaped
Size- Small- Large
Resuscitation Masks
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Resuscitation Masks: Round ShapeDisadvantages If the correct size is not selected, a seal can not form
If the mask is too large, eye damage may develop
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Resuscitation Masks: Anatomically Shaped
AdvantagesEasier to obtain a seal
Less chance of eye damage
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Resuscitation MasksSizeSmallLargeMask should coverTip of chinMouthNose
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Resuscitation Masks: SizeThe correct size will cover the tip of the chin, the mouth, and the nose but not the eyes.
Too large → Eye damageToo small → Will not cover the mouth and nose and may occlude the nose.
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Size of BagBags 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).
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Preparation ChecklistBefore beginning PPV:Select appropriate-sized mask
Be sure airway is clearPosition baby’s headPosition yourself at baby’s side or head
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Positioning Mask on Face
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Ventilation Rate40-60 breaths per minute
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Signs of Improvement
Improvement is indicated by the following signs:Increasing heart rateImproving colorSpontaneous breathingImproving muscle tone
Signs of Improvement
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Infant Not Improving and Chest Not Adequately Expanding
•Possible causes•Inadequate seal•Blocked airway•Inadequate pressure
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Causes and Solutions for Inadequate Chest ExpansionConditions Actions1.Inadequate seal
Reapply mask to face and lift the jaw forward.
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Causes and Solutions for Inadequate Chest ExpansionReapply mask to face
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Causes and Solutions for Inadequate Chest ExpansionLift the jaw forward
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Causes and Solutions for Inadequate Chest ExpansionConditions Actions2. Blocked airway Reposition the
head.Check for secretions; suction if necessary.Ventilate with the newborn’s mouth slightly open.
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Causes and Solutions for Inadequate Chest ExpansionConditions Actions3. Inadequate pressure
Increase pressure until there is a perceptible movement of the chest.Consider endotracheal intubation.
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Continued Positive-Pressure Ventilation
Orogastric tube should be inserted to relieve gastric distentionGastric distention mayElevate diaphragm, preventing full lung expansion
Cause regurgitation and aspiration
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Continued PPV
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Insertion of Orogastric Tube
Equipment8F feeding tube
20-mL syringe
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Insertion of Orogastric TubeMeasuring correct length
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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
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