Airway manoeuvres to achieve upper airway patency during mask ventilation in newborn infants - An historical perspective

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• 作者：Catherine Chua^a ; Georg M. Schmö ; lzer^a ; ^b ; ^c ; ^d ; ^{georg.schmoelzer@me.com} ; Peter G. Davis^a ; ^c ; ^e
• 关键词：VT ; tidal volume ; NRP ; Neonatal Resuscitation Program ; NLS ; European Newborn Life Support Course ; NZ-NLS ; New Zealand Newborn Life Support ; PPV ; positive pressure ventilation ; CPAP ; continuous positive airway pressure
• 刊名：Resuscitation
• 出版年：2012
• 期刊代码：236_03009572
• 类别：med
• 出版时间：April, 2012
• 卷：83
• 期：4
• 页码：411-416
• 文件大小：418 K

摘要

Maintenance of upper airway patency remains a cornerstone of adequate airway management. Although various opening manoeuvres are recommended by neonatal resuscitation guidelines, none of these have been well evaluated in newly born infants.

The aim of this article was to review the available literature about airway opening manoeuvres in newborn infants. We reviewed books, resuscitation manuals and articles from 1860 to the present with the search terms 鈥淚nfant, Newborn鈥? 鈥渁irway management鈥? 鈥渁irway manoeuvres鈥? 鈥渃hin lift鈥? 鈥渏aw thrust鈥? 鈥渘eutral position鈥? 鈥渟houlder roll鈥? 鈥渘eonatal resuscitation鈥? 鈥減ositive pressure respiration鈥?and 鈥渃ontinuous positive airway pressure鈥? Only human studies were included.

During mask PPV, jaw thrust appears to be more effective in achieving a patent upper airway and might help to reduce airway obstruction. The additional application of chin lift might reduce leak during mask ventilation. However given the lack of available data these conclusions remains speculative and further research in this area is required.