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Related Concept Videos

Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Suctioning the Nasopharyngeal Airway01:29

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Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
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Administering Oxygen by Nasal Cannula01:29

Administering Oxygen by Nasal Cannula

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Oxygen therapy is critical to patient care, especially for those struggling with respiratory issues. This intervention increases the oxygen concentration in the lungs, enhancing the amount of oxygen transported to the body's tissues. One standard method of delivering supplemental oxygen is through a nasal cannula, a non-invasive device that provides low to medium oxygen concentrations.
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Oxygen Delivering System I: Nasal Cannula and Face Mask01:26

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The human body requires oxygen to function, and when the natural process of respiration is hindered, external devices, including the following, are needed to help deliver this vital gas.
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Epistaxis01:30

Epistaxis

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Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
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Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Related Experiment Video

Updated: Jul 15, 2025

Laryngeal Mask Airway LMA Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway SGA
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Nasal interfaces for neonatal resuscitation.

Caitriona M Ni Chathasaigh1,2, Peter G Davis3,4,5, Colm Pf O'Donnell1,2

  • 1Department of Neonatology, National Maternity Hospital, Dublin, Ireland.

The Cochrane Database of Systematic Reviews
|October 3, 2023
PubMed
Summary
This summary is machine-generated.

Nasal interfaces show comparable efficacy to face masks for positive pressure ventilation (PPV) in newborns. While potentially reducing in-delivery room intubations, evidence remains uncertain, necessitating further research into optimal neonatal resuscitation methods.

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Area of Science:

  • Neonatal Resuscitation
  • Pediatric Critical Care
  • Respiratory Support

Background:

  • International Liaison Committee on Resuscitation (ILCOR) provides guidelines for neonatal delivery room care.
  • Positive pressure ventilation (PPV) is recommended for infants who are gasping, apnoeic, or bradycardic.
  • Face masks are common but prone to gas leak and airway obstruction; nasal interfaces and laryngeal mask airways (LMAs) are alternatives.

Approach:

  • Systematic review and meta-analysis of randomized controlled trials (RCTs) and quasi-RCTs.
  • Searched CENTRAL, MEDLINE, Embase, Epistemonikos, and trial registries up to September 2022.
  • Included trials comparing nasal interfaces to face masks, LMAs, or other nasal interfaces for PPV in newborns.

Key Points:

  • Five trials involving 1406 infants compared nasal interfaces to face masks.
  • Nasal interfaces showed little to no effect on mortality (low-certainty evidence).
  • Nasal interfaces may reduce in-delivery room intubation rates, but evidence is very uncertain.

Conclusions:

  • Nasal interfaces demonstrate comparable efficacy to face masks for neonatal respiratory support in the delivery room.
  • Current evidence supports nasal interfaces as a viable alternative to face masks.
  • Further research is needed to clarify the specific effects of nasal interfaces versus ventilation devices due to study limitations.