Disposable Colorimetric Carbon Dioxide Detector Use as an Indicator of a Patent Airway During Noninvasive Mask Ventilation

Leone, Tina A.; Lange, Allison; Rich, Wade; Finer, Neil N.

doi:10.1542/peds.2005-2493

Cited by 70 publications

(35 citation statements)

References 9 publications

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“…55,56 However, it is unclear whether the use of CO 2 detectors during mask ventilation confers additional benefit above clinical assessment alone (Class IIb, LOE C).…”

Section: Initial Breaths and Assisted Ventilationmentioning

confidence: 99%

Part 15: Neonatal Resuscitation

Kattwinkel¹,

Perlman²,

Aziz³

et al. 2010

Circulation

445

289

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“…55,56 However, it is unclear whether the use of CO 2 detectors during mask ventilation confers additional benefit above clinical assessment alone (Class IIb, LOE C).…”

Section: Initial Breaths and Assisted Ventilationmentioning

confidence: 99%

Part 15: Neonatal Resuscitation

Kattwinkel¹,

Perlman²,

Aziz³

et al. 2010

Circulation

445

289

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“…55 We have found that over 80% of such infants receiving bag and mask breaths have evidence of airway obstruction during the initial breaths and that such airway obstruction may persist for 37 or more breaths over a period of a minute or longer. 56 These obstructed breaths may often go unrecognized in the absence of a CO 2 detection device and may lead to bradycardia and hypoxia, and, in time, to further, more aggressive and hazardous procedures, such as increased pressure compressions, intubation or medications, if not rapidly recognized and relieved.…”

Section: Bag and Mask Ventilationmentioning

confidence: 92%

Neonatal resuscitation for the preterm infant: evidence versus practice

Finer

Rich

2010

J Perinatol

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In an effort to determine the actual conduct of neonatal resuscitation and the errors that may be occurring during this process, we developed a method of video recording neonatal resuscitations as an ongoing quality assurance project. We initiated video recordings of resuscitations using simple video recorders attached to an overhead warmer and reviewed the resultant tapes during biweekly quality improvement meetings. We also added the continuous recording of analog information such as heart rate, oximeter values, fraction of inspired oxygen and airway pressure. We subsequently developed a checklist that includes a preresuscitation briefing and a postresuscitation debriefing, all of which are reviewed at the same time as the video recording. We have examined the use of oxygen in the very preterm infant, the effectiveness of bag and mask ventilation, including the detection of airway obstruction during such ventilation, intubation in the delivery area and environment. In addition, we have trained our teams and leaders using Crew Resource Management and focused on improved communication. The availability of a dedicated room for resuscitation allows an increased ambient environment and the ability to provide a userfriendly setting similar to the neonatal intensive care unit to optimize performance. There are numerous opportunities for improving team and leader performance and outcomes following neonatal resuscitation. Further prospective studies are required to evaluate specific interventions.

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“…The use of colorimetric exhaled CO 2 detectors during face mask ventilation of small numbers of preterm infants in the intensive care unit (LOE 4 72 ) and the delivery room (LOE 4 73 ) has been reported and may help identify airway obstruction. It is unclear whether the use of exhaled CO 2 detectors during face mask ventilation confers additional benefit over clinical assessment alone.…”

Section: Consensus On Sciencementioning

confidence: 99%