Document Detail


The importance of ventilation to effective resuscitation in the term and preterm infant.
MedLine Citation:
PMID:  11520186     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although resuscitation at birth often has a successful outcome, there is very little data available on the optimal method. Face mask/bag resuscitation is relatively ineffective, rarely producing adequate alveolar ventilation before lung expansion has occurred, probably depending on the Head's Paradoxical Reflex to stimulate inspiratory efforts The T-piece/face mask technique is easier to use and more effective as the inflation pressure can be maintained for longer. Standard T-piece/endotracheal tube resuscitation produces inflation volumes of less than half of those generated by spontaneously breathing infants, and the functional residual capacity is not formed for several breaths. This can be overcome by maintaining the first inflation for 3 s. More studies are urgently required in very preterm infants as these are particularly vulnerable to volutrauma immediately after delivery.
Authors:
A Milner
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in neonatology : SN     Volume:  6     ISSN:  1084-2756     ISO Abbreviation:  Semin Neonatol     Publication Date:  2001 Jun 
Date Detail:
Created Date:  2001-08-24     Completed Date:  2001-10-25     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9606001     Medline TA:  Semin Neonatol     Country:  England    
Other Details:
Languages:  eng     Pagination:  219-24     Citation Subset:  IM    
Copyright Information:
Copyright 2001 Harcourt Publishers Ltd.
Affiliation:
Department of Child Health, King's College London, UK. anthony.milner@kcl.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Asphyxia Neonatorum / therapy*
Cardiopulmonary Resuscitation*
Humans
Infant, Newborn
Infant, Premature*
Respiration, Artificial*
Ventilators, Mechanical

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