delivering free-flow oxygen
DESCRIPTION
Delivering Free-flow Oxygen. Oxygen mask Flow-inflating bag and mask T-piece resuscitator Oxygen tubing. Free-flow Oxygen Given Via Oxygen Mask. Free-flow Oxygen Given Via Oxygen Mask. Free-flow Oxygen Given Via T-piece Resuscitator. Free-flow Oxygen Given Via Oxygen Tubing. - PowerPoint PPT PresentationTRANSCRIPT
1
Delivering Free-flow Oxygen
Oxygen maskFlow-inflating bag and maskT-piece resuscitatorOxygen tubing
Free-flow Oxygen Given Via Oxygen Mask
Free-flow Oxygen Given Via Oxygen Mask
Free-flow Oxygen Given Via T-piece Resuscitator
Free-flow Oxygen Given Via Oxygen Tubing
Free-flow Oxygen Given Via Oxygen Tubing
Types of Positive-Pressure Devices
Self-inflating bagFlow-inflating bag (anesthesia bag)
T-piece resuscitator
Types of Positive-Pressure Devices
Self-inflating Bag
Self-inflating Bag
Flow-inflating Bag
T-piece Resuscitator
Safety Features: Self-inflating Bags With Pressure-release Valve
Safety Features: Flow-inflating Bag
Safety Features: T-piece Resuscitator
Resuscitation Masks
Rim- Cushioned- Non-cushioned
Shape- Round- Anatomically shaped
Size- Small- Large
Resuscitation Masks
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
Resuscitation Masks: Anatomically Shaped
AdvantagesEasier to obtain a seal
Less chance of eye damage
Resuscitation MasksSizeSmallLargeMask should coverTip of chinMouthNose
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.
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).
Preparation ChecklistBefore beginning PPV:Select appropriate-sized mask
Be sure airway is clearPosition baby’s headPosition yourself at baby’s side or head
Positioning Mask on Face
Ventilation Rate40-60 breaths per minute
Signs of Improvement
Improvement is indicated by the following signs:Increasing heart rateImproving colorSpontaneous breathingImproving muscle tone
Signs of Improvement
29
Infant Not Improving and Chest Not Adequately Expanding
•Possible causes•Inadequate seal•Blocked airway•Inadequate pressure
Causes and Solutions for Inadequate Chest ExpansionConditions Actions1.Inadequate seal
Reapply mask to face and lift the jaw forward.
Causes and Solutions for Inadequate Chest ExpansionReapply mask to face
Causes and Solutions for Inadequate Chest ExpansionLift the jaw forward
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.
Causes and Solutions for Inadequate Chest ExpansionConditions Actions3. Inadequate pressure
Increase pressure until there is a perceptible movement of the chest.Consider endotracheal intubation.
Continued Positive-Pressure Ventilation
Orogastric tube should be inserted to relieve gastric distentionGastric distention mayElevate diaphragm, preventing full lung expansion
Cause regurgitation and aspiration
Continued PPV
Insertion of Orogastric Tube
Equipment8F feeding tube
20-mL syringe
Insertion of Orogastric TubeMeasuring correct length
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