Exhaled carbon dioxide can be used to guide respiratory support

Acta paediatrica · Aug 2014

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

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

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- Sylvia van Os, Po-Yin Cheung, Gerhard Pichler, Khalid Aziz, Megan O'Reilly, and Georg M Schmölzer.
- Neonatal Research Unit, Alberta Health Services, Royal Alexandra Hospital, Edmonton, AB, Canada.
- Acta Paediatr. 2014 Aug 1; 103 (8): 796-806.
UnlabelledRespiratory 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.ConclusionObserving tidal volume and ECO2 waveforms adds objectivity to clinical assessments. ECO2 could help assess lung aeration and improve lung recruitment immediately after birth.©2014 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

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

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