Neopuff Infant Resuscitator User Manual Compress
Neopuff Infant Resuscitator User Manual Compress
Neopuff Infant Resuscitator User Manual Compress
Purpose
The purpose of the Neopuff TM Infant Resuscitator User
Manual is to enable the user to set up, test, and use the
Infant T-piece Resuscitator (900 series). The device is
used in urgent situations; therefore, it is necessary for
medical personnel to have previous training in order to
have confidence in their ability to complete these tasks.
The device is designed to be used on infants with a
maximum weight of 10kg.
A Quick Set Up and Operation Card from the Appen-
dix can be printed and laminated in anticipation of
future use.
Users
If you are a respiratory therapist (RT) or medical
doctor (MD), turn to page 1.
If you are a registered nurse (RN) or midwife, turn
to page 9.
Warnings
Important: Warnings will be identified by this icon.
Use with Fisher & Paykel Healthcare gas lines and accesso-
ries.
An alternative means of resuscitation must be available
(bagging).
RN - - - - - - - - - - - - - - - - - - - - - 9
Setting up the Neopuff Infant Resuscitator - - - - - - - - 9
Gathering supplies - - - - - - - - - - - - - - - - - - - - 9
Learning the device features - - - - - - - - - - - - - - - 10
Connecting the device to a gas supply - - - - - - - - - - - 10
Connecting the device to a T-piece circuit - - - - - - - - - - 11
Operating the Neopuff Infant Resuscitator - - - - - - - - 11
Fitting an infant mask - - - - - - - - - - - - - - - - - - 11
Connecting the T-piece to a mask or ET tube - - - - - - - - 12
Ventilating the infant- - - - - - - - - - - - - - - - - - - 12
Monitoring and documenting - - - - - - - - - - - - - - - 13
Troubleshooting - - - - - - - - - - - - - - - 15
Achieving an effective mask seal- - - - - - - - - - - - - - 16
Appendix - - - - - - - - - - - - - - - - - - 18
Cleaning procedures - - - - - - - - - - - - - - - - - - - 18
Glossary of Acronyms - - - - - - - - - - - - 22
Glossary of Terms - - - - - - - - - - - - - - 23
Index - - - - - - - - - - - - - - - - - - - - 24
References - - - - - - - - - - - - - - - - - 26
Gathering supplies
Ensure that you have the following supplies:
• T-piece circuit
Setting up the Neopuff Infant Resuscitator
• Manometer
Note the locations for the Gas Inlet and Outlet Ports for
the next step in the sequence.
Gathering supplies
Ensure that you have the following supplies:
• T-piece circuit
• Manometer
Figure 3. T-pieces
If you are a nurse or midwife who works in a remote
location without the support of a respiratory therapist, you
may wish to review the RT/MD procedures on page 1.
Ensure that you have current NRP (Neonatal Resuscitation
Program) training and are comfortable with full set up and
operation of the device.
3. An improvement in oxygenation.
Problem Solution
I am unable to achieve the PIP Check that the gas flow rate is set
and PEEP pressures that were to 8 – 10 L/min.
obtained during the set up
Inspect the test lung for signs of
procedure.
damage.
Ensure firm connections between
the gas supply, device, and T-
piece circuit.
Ensure the test lung is firmly
connected to the T-piece.
I am still unable to achieve the Confirm that the manometer
desired PIP & PEEP. registers zero with no gas flow.
Check the maximum pressure
relief is set correctly at 40 cm
H2O.
I am ventilating the infant:
Problem Solution
The infant’s chest and Confirm a good seal between the mask and
upper abdomen are not infant’s face has been achieved (look for a
rising during the pressure of 5 cmH2O after expiration and listen
inspiratory cycle. for a soft whistle of gas through the PEEP Cap).
Ordering supplies:
A product catalogue is available at
https://www.fphcare.ca/CMSPages/GetFile.aspx?guid=21381be5-6425-
4350-a47d-ee447f7af60e
1. Connect gas supply line to source and 9. Replace the Max Pressure Cover.
Gas Inlet Port on device.
2. Connect T-piece circuit to Gas Outlet 10. Adjust the PIP Control Knob to the
Port. desired PIP.
3. Ensure manometer has a zero reading. 11. Take your thumb off the PEEP Cap.
4. Turn on gas supply (5 to 15 L/min.) 12. Adjust the aperture of the PEEP Cap
to set the desired PEEP.
5. Open the Max Pressure Cover. 13. Remove the blue cap from the T-piece.
6. Occlude the PEEP Cap with your 14. Connect the T-piece to the infant mask
thumb. or ET tube.
7. Turn the PIP Control Knob clockwise 15. Occlude the PEEP Cap to provide
until it won’t turn any more. inspiratory cycle.
8. Adjust the Max Pressure Control 16. Unblock the PEEP Cap to provide
Knob to the desired maximum pres- expiratory cycle.
sure.
A I
adjusting pressure settings 3-5 infant
attaching. See connecting. masks 6, 11
monitoring 13
ventilation 7, 12
C Inlet Port, Gas 2, 10
intubation 16
G O
Gas Inlet Port 2, 10 operating the Neopuff 6, 11
Gas Outlet Port 2, 10 ordering supplies 18
global contacts 20 Outlet Port, Gas 2, 10
glossary 22, 23
P
H
PEEP, adjusting 5
Help. See Troubleshooting. PEEP Cap 4, 5, 12
PIP, adjusting 4
PIP Control Knob 2, 4
Q
T
Quick Set Up and Operation Card 18
test lung 5
testing procedure 5
R T-piece circuit 6, 11, 12
troubleshooting 15
two-point top hold 16
recalibrating 2, 10
respiratory rate 7, 13
resuscitation 23
RN 9 V
RT 1
ventilating the infant 7, 12
de Winter, J et al. Noninvasive respiratory support in newborns. Eur J Pediatr 2010. 169:777-782.
Finan, E et al. Neonatal resuscitation guidelines update: A case-based review. Pediatric Child
Health 2011. 16(5): 289-291.
Neopuff Infant Resuscitator Operating Instructions, Fisher & Paykel Healthcare, 2011.
RD1300-10 T-piece Circuit User Instructions, Fisher & Paykel Healthcare, 2011.
Neonatal Resuscitation Masks User Instructions, Fisher & Paykel Healthcare, 2010.
RD020-01 Test Lung User Instructions, Fisher & Paykel Healthcare, 2011.
T-piece Resuscitation: Optimal Resuscitation with F&P Neopuff. Product brochure, Fisher &
Paykel Healthcare, 2011.