Abstract
Inflation and oesophageal pressures were recorded simultaneously during bag and mask resuscitation of 9 asphyxiated babies. After half a minute of standard inflation pressures, higher pressures were applied for at least 5 inflations by occluding the blow-off valve. No air entered the oesophagus until a high mean inflation pressure of 5.4 kPa was exceeded. These findings were confirmed in 4 fresh stillborn babies studied similarly. We conclude that resuscitation using bag and mask, applying pressures less than 3.5 kPa, should not lead to gastric distension.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Boon A. W., Milner A. D., Hopkin I. E. Physiological responses of the newborn infant to resuscitation. Arch Dis Child. 1979 Jul;54(7):492–498. doi: 10.1136/adc.54.7.492. [DOI] [PMC free article] [PubMed] [Google Scholar]
- RUBEN H., KNUDSEN E. J., CARUGATI G. Gastric inflation in relation to airway pressure. Acta Anaesthesiol Scand. 1961;5:107–114. doi: 10.1111/j.1399-6576.1961.tb00089.x. [DOI] [PubMed] [Google Scholar]
- Vyas H., Milner A. D., Hopkins I. E. Intrathoracic pressure and volume changes during the spontaneous onset of respiration in babies born by cesarean section and by vaginal delivery. J Pediatr. 1981 Nov;99(5):787–791. doi: 10.1016/s0022-3476(81)80412-x. [DOI] [PubMed] [Google Scholar]