Infant Resuscitation Therapy

Infant Resuscitation Therapy

Key Details

Resuscitation establishes and maintains a clear airway by ventilating the baby and provides an extra oxygen supply to the lungs and circulatory system.

Approximately 10% of babies born globally each year will require some form of assistance to encourage them to begin breathing.  Resuscitation establishes and maintains a clear airway by ventilating the baby and provides an extra oxygen supply to the lungs and circulatory system to help the baby recover.  There are also secondary benefits of resuscitation such as prevention of hypothermia and low blood sugar (1).

There are various products suitable for the resuscitation of infants including both self-inflating and flow inflating bags (bagging sets/Mapleson’s) and T-piece resuscitation devices.

Resuscitation via T-piece resuscitators is recommended as the primary method of resuscitation globally. This view is supported in consensus by various international resuscitation guidelines, for example the ANZCOR guideline (2) and the UK resuscitation council guidelines.  The reason for this recommendation is that T-piece resuscitation provides excellent infant oxygenation by safely inflating the patient’s lungs with consistent pressures, these are delivered through the circuit and T-piece machine.  Comparison of resuscitation devices in clinical studies and papers suggests that the use of T-piece resuscitation results in improved survival for babies and better overall health outcomes (3, 4).

How does T-piece resuscitation work?

What is T-Piece resuscitation?
The name ‘T-piece’ comes from the shape and design of the circuits used during T-piece resuscitation, where the corrugated tubing connection to the PEEP control cap and patient connection form a ‘T’ shape.  T-piece resuscitation is delivered through a system consisting of a connection to a gas source, a pressure control manifold for setting Max. Pressure (P Max) and Peak Inspiratory Pressure (PIP) and a resuscitation limb to reach to the patient.

The patient connection can be via a face mask or connected directly to an Endotracheal (ET) tube placed into the baby’s airway.  The pressure control manifold in conjunction with the PEEP control cap, located on the resuscitation limb, gives full control over all delivered pressures to the patient.

Clinical Papers

Delayed cord clamping with stabilisation at all preterm births – feasibility and efficacy of a low cost technique

Sarah E. Bates et al. Read the full paper.

 

Use of Heated Humidified Gases for Early Stabilization of Preterm Infants: A Meta-Analysis

Michael P. Meyer et al.Read the full paper.

 

Resuscitation and support of transition of babies at birth

Resuscitation Council (UK) Read the full paper.

 

Manual ventilation devices in neonatal resuscitation: Tidal volume and positive pressure-provision

Charles C. Roehr et al.Read the full paper.

 

Improved techniques reduce face mask leak during simulated neonatal resuscitation: Study 2

Fiona E Wood et al.Read the full paper.

 

Featured Products

NeoFlow T-piece Resuscitation Circuits

Standard and Humidified NeoFlow Resuscitation Limbs are supplied with BioCote®, an antimicrobial silver additive to limit the numbers of microbes on the surface, protecting it from microbial colonisation.

Read more about our NeoFlow T-piece Resuscitation Circuits.

NeoFlow Resuscitation Masks

NeoFlow resuscitation masks include hand positioning guides for optimal seal and ventilation. Mask design incorporates core strength to resist collapse during use.

Read more about our NeoFlow Resuscitation Masks.

NeoFlow Resuscitation System

The NeoFlow Blender and Infant Resuscitator deliver accurate control of flow, O2 and pressure. Our Infant Resuscitation Device safely inflates the baby’s lungs, with consistent PIP and excellent PEEP control.

Read more about our NeoFlow Resuscitation System.

References:

1. Boxwell, G., Petty, J., & Kaiser, L. Neonatal Intensive Care Nursing (2019).
2. Council, N.Z.R., ANZCOR guideline 13.1-introduction to resuscitation of the newborn infant. New Zealand Resuscitation Council (2016).
3. Roehr, C.C., Davis, P.G., Weiner, G.M., Wyllie, J.J., Wyckoff, M.H. and Trevisanuto, D., T-piece resuscitator or self-inflating bag during neonatal resuscitation: a scoping review. Paediatric Research, pp.1-8 (2020).
4. Sha, L., Zhangbin, Y.U., Han, S., Qian, M., Chen, X., Weimin, W.U., Zhang, J. and Dong, X., Does T-piece resuscitator in the delivery room improve the resuscitation efficacy on very preterm infants. Chinese Journal of Neonatology, 32(3), pp.165-168 (2017).

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