الفهرس | Only 14 pages are availabe for public view |
Abstract Risk management dictates that anaesthesiologist who expected to perform neonatal resuscitation maintain a high level of skill in that area ”airway”. Any obstetric anaesthesiologist -even if he is not designated as a resuscitator- should be capable of neonatal resuscitation. But he should have a primary responsibility of the mother (Arkoosh, 1997). This study was conducted on thirty neonates, classified into three equal groups, to compare the effectiveness of FM, ETT and LMA in ventilatory support of distressed neonates delivered by caesarean section. Within the first minute of delivery resuscitation was done by the traditional methods (positioning, drying, suctioning, warming and tactile stimulation) then ventilation was started by, either (FM, ETT or LMA) till Apgar score reached ”7-8” within the first ten minutes (end of resuscitation). The parameters used for assessment of neonates include ; Apgar score, heart rate, oxygen saturation, end-tidal carbon dioxide tension, and non-invasive arterial blood pressure ( S, D, M.). Data were collected for the three moities every (1-2) minutes till Apgar score reaches value of ”7-8” with in the first 10 minutes. The results of this study revealed that Apgar score in all groups were less than three at the time of delivery and also after one minute. By the use of ventilatory devices ( FM, ETT and LMA ), it became improved within five minutes . The HR., Sa 02’ and skin colour were improved within four minutes, but the improvement was more earlier with LMA usage, occured (within two minutes). |