[Advantages of early artificial respiration of the newborn infant using a modified T-piece]

Onset of sufficient respiration in the newborn may be delayed and require respiratory assistance. Its early institution is mandatory and its mode guided by the respiratory requirements of the newborn at risk. In our Department we use a simple respiratory equipment consisting of a modified mask elbow and a pigtail bag. We have applied this system in over thousand newborns without any complications. Sufficient respiratory care is easily accomplished. The system offers advantages because of its simplicity. It is lightweight, transparent, without valves and enables the user to applicate assisted or controlled ventilation with or without CPAP or PEEP. Tidal volume and frequency of spontaneous respiration can be gauged by watching the inflated bag's movements. If sufficient fresh gas flow is provided, there is no hazardous rebreathing. An elevated orifice maintains a safe system pressure, while still permitting high inspiratory pressures for resuscitation. Pressures applied are checked by an attached manometer.