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Acta Paediatr. 2014 Aug;103(8):796-806. doi: 10.1111/apa.12650. Epub 2014 Apr 30.

Exhaled carbon dioxide can be used to guide respiratory support in the delivery room.

Author information

1
Neonatal Research Unit, Alberta Health Services, Royal Alexandra Hospital, Edmonton, AB, Canada.

Abstract

Respiratory support in the delivery room remains challenging. Assessing chest rise is imprecise, and mask leak and airway obstruction are common problems. We describe recordings of respiratory signals during delivery room resuscitations and discuss guidance on positive-pressure ventilation using respiratory parameters and exhaled carbon dioxide (ECO2 ) during neonatal resuscitations.

CONCLUSION:

Observing tidal volume and ECO2 waveforms adds objectivity to clinical assessments. ECO2 could help assess lung aeration and improve lung recruitment immediately after birth.

KEYWORDS:

Delivery room; Neonatal resuscitation; Newborn; Positive-pressure respiration; Respiratory function tests

PMID:
24698203
DOI:
10.1111/apa.12650
[Indexed for MEDLINE]

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