Positive Pressure Ventilation (PPV) is the cornerstone of any Neonatal Resuscitation. It indicated if a newborn is apneic or gasping or the heart rate is less than 100 beats/min. Initial ventilation pressure is 20 to 25 cm H2O. When PEEP is used, the recommended initial setting is 5 cm H2O.
When PPV begins, the most important indicator of successful PPV is a rising heart rate. If the heart rate does not increase, PPV that inflates the lungs is evidenced by rising chest movement with ventilation. When PPV begins, the assistant listens for increasing heart rate after 5 inflations of PPV.
If you are attempting PPV but the baby is not improving and the chest is not moving then perform ventilation corrective steps (MR. SOPA– M (mask adjustment), R (reposition airway), S (suction mouth and nose), O (open mouth), P (pressure increase), A (alternate airway).
Lets see all these scenarios in a Video enacted on a Dummy by Dr Ankit Gupta, Post Graduate Neonatology Fellow & Nurse Ms Sonu and voiced by Dr Kumar Ankur, Incharge Neonatology Unit at BLK Centre for Child Health.