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Exhaled carbon dioxide can be used to guide respiratory support in the delivery room
Author(s) -
Os Sylvia,
Cheung PoYin,
Pichler Gerhard,
Aziz Khalid,
O'Reilly Megan,
Schmölzer Georg M.
Publication year - 2014
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.12650
Subject(s) - medicine , respiratory system , respiratory monitoring , carbon dioxide , intensive care medicine , airway , continuous positive airway pressure , ventilation (architecture) , lung , anesthesia , mechanical engineering , ecology , obstructive sleep apnea , biology , engineering
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 ( ECO 2 ) during neonatal resuscitations. Conclusion Observing tidal volume and ECO 2 waveforms adds objectivity to clinical assessments. ECO 2 could help assess lung aeration and improve lung recruitment immediately after birth.