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.


CONCLUSIONS
Observing tidal volume and ECO2 waveforms adds objectivity to clinical assessments. ECO2 could help assess lung aeration and improve lung recruitment immediately after birth.
Neonatal Research Unit, Alberta Health Services, Royal Alexandra Hospital, Edmonton, AB, Canada.
Sylvia
S
van Os
Po-Yin
PY
Cheung
Gerhard
G
Pichler
Khalid
K
Aziz
Megan
M
O'Reilly
Georg M
GM
Schmölzer
D001944:Breath Tests; D002245:Carbon Dioxide / Q000032:analysis*; D003696:Delivery Rooms; D006801:Humans; D007231:Infant, Newborn; D007442:Intubation, Intratracheal; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000628:therapy*; D012151:Resuscitation
D002245:Carbon Dioxide
Delivery room; Neonatal resuscitation; Newborn; Positive-pressure respiration; Respiratory function tests