A simple method of face mask resuscitation at birth

SUMMARY Twenty two infants were resuscitated at birth using a face mask connected to an oxygen supply from a conventional resuscitaire. Intermittent finger occlusion provided the positive pressure within the mask. This method was apparently at least as effective as the best bag and mask systems and was convenient to use. Resuscitation of infants using a bag and face mask is a well accepted technique and seems empirically to be successful. The essential features to obtain the best results are a round mask, with a compliant ring to form an adequate seal, ' a large reservoir to allow a more sustained pressure,2 with a robust design, and sufficient staff training. Even so the results of Milner et al showed that compared with intubation face mask resuscitation rarely produced volumes adequate for alveolar ventilation and worked mainly by stimulating the baby's own respiratory efforts.