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Delivering Free-flow Oxygen

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.

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Delivering Free-flow Oxygen

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  1. Delivering Free-flow Oxygen Oxygen mask Flow-inflating bag and mask T-piece resuscitator Oxygen tubing

  2. Free-flow Oxygen Given Via Oxygen Mask

  3. Free-flow Oxygen Given Via Oxygen Mask

  4. Free-flow Oxygen Given Via T-piece Resuscitator

  5. Free-flow Oxygen Given Via Oxygen Tubing

  6. Free-flow Oxygen Given Via Oxygen Tubing

  7. Types of Positive-Pressure Devices • Self-inflating bag • Flow-inflating bag (anesthesia bag) • T-piece resuscitator Types of Positive-Pressure Devices

  8. Self-inflating Bag

  9. Self-inflating Bag

  10. Flow-inflating Bag

  11. T-piece Resuscitator

  12. Safety Features: Self-inflating Bags With Pressure-release Valve

  13. Safety Features: Flow-inflating Bag

  14. Safety Features: T-piece Resuscitator

  15. Resuscitation Masks • Rim - Cushioned - Non-cushioned • Shape - Round - Anatomically shaped • Size - Small - Large Resuscitation Masks

  16. Disadvantages • If the correct size is not selected, a seal can not form • If the mask is too large, eye damage may develop Resuscitation Masks: Round Shape

  17. Advantages • Easier to obtain a seal • Less chance of eye damage Resuscitation Masks: Anatomically Shaped

  18. Size • Small • Large Mask should cover • Tip of chin • Mouth • Nose Resuscitation Masks

  19. The correct size will cover the tip of the chin, the mouth, and the nose but not the eyes. • Too large → Eye damage • Too small → Will not cover the mouth and nose and may occlude the nose. Resuscitation Masks: Size

  20. Bags 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). Size of Bag

  21. Before beginning PPV: • Select appropriate-sized mask • Be sure airway is clear • Position baby’s head • Position yourself at baby’s side or head Preparation Checklist

  22. Positioning Mask on Face

  23. Ventilation Rate 40-60 breaths per minute

  24. Signs of Improvement Improvement is indicated by the following signs: • Increasing heart rate • Improving color • Spontaneous breathing • Improving muscle tone Signs of Improvement

  25. Infant Not Improving and Chest Not Adequately Expanding Possible causes Inadequate seal Blocked airway Inadequate pressure

  26. Causes and Solutions for Inadequate Chest Expansion

  27. Causes and Solutions for Inadequate Chest Expansion Reapply mask to face

  28. Causes and Solutions for Inadequate Chest Expansion Lift the jaw forward

  29. Causes and Solutions for Inadequate Chest Expansion

  30. Causes and Solutions for Inadequate Chest Expansion

  31. Orogastric tube should be inserted to relieve gastric distention Gastric distention may • Elevate diaphragm, preventing full lung expansion • Cause regurgitation and aspiration Continued Positive-Pressure Ventilation

  32. Continued PPV

  33. Equipment • 8F feeding tube • 20-mL syringe Insertion of Orogastric Tube

  34. Insertion of Orogastric Tube Measuring correct length

  35. 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 Insertion of Orogastric Tube

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