How to… set up the resuscitaire
Before you start
Check that the resuscitaire is plugged in and connected to the oxygen and air
- On buttonÂ
- Light buttonÂ
Top-to-bottom run-throughÂ
Top panel
- Clock or timer to time your resuscitation – (start, stop and reset)Â
- Temperature settings
- Pre-warm – The machine will automatically set to pre-warm
- Manual – Use the up button to change to manualÂ
- Up and down buttons – Dial up the temperature using these buttons in the manual setting Â
- Baby – If using a manual continuous saturation monitor, plug into here and then set to babyÂ
Key lock the settings so it cannot be changed again unless you press it again
Blender 1:13
This blender corresponds to the Fio2 of the gas coming out of the auxiliary gas port
You can dial it up or down
Most people set the initial FIO2 to 0.21 so that you are resuscitating on air
Suction 1:25
Turn on suction using the switch
Increase pressure by turning the suction dial
When you occlude the suction device the needle on the dial will move up and down to show how much negative pressure is exerted
Ventilation settings 1:40
Autobreath
T piece is attached to auxiliary gas port shown
Working from left to right
- Rate – most people start with an initial rate of 40 breaths per minuteÂ
- PEEP – If you are not setting the peep with valve on top of the T piece device you can set it using the PEEP dialÂ
- On and off switch for autobreathÂ
- Airway pressure relief – also known as the peak inspiratory pressure – most people like to set this at a maximum of 30 to begin withÂ
Testing pressures: 2:13
To test the pressures when the T-piece is connected to the gas outlet:
- PEEP = Occlude the valve inside the mask, the needle will move to the desired level of peepÂ
- Peak inspiratory pressure – occlude the valve at the top of the T-piece
Flow rate 2:31
- This dial controls the flow rate through the gas outletÂ
- Most people set it at 8 litres per minuteÂ
Gas outlet
- Below this you have an alternative gas outlet that always runs on 100% oxygenÂ
- You can attach a water or anaesthetic circuit here and adjust the flow rate in the same way as above using this dialÂ
Gas Supply
- These dials show much how air and oxygen are in the tanks behind the resuscitaireÂ
- This switch should be used whenever the gases are in use
Resuscitaire run through
A baby is being born – get your resuscitaire ready and primedÂ
- Plug the resuscitaire inÂ
- Connect to the gases – black to air, white to oxygenÂ
- Turn the resuscitaire on and turn the light onÂ
- Select manual and turn the temperature all the way upÂ
- Set your blender to an fi02 of 21Â
- Check your suction – one end connects underneath the resuscitaire, the other end connects to the yanker. Check it is working by occluding the endÂ
- Set your Autobreath settings –
- Rate of 40 breaths per minuteÂ
- Peep of 4 or 5 and turn the peep on Â
- Flow rate of 8Â
- Connect the tubing to the outlet
- Test the pressures
- Occlude the mask to check PEEP isn’t too highÂ
- Occlude the valve at the top of the T-piece to check your peak inspiratory pressureÂ
- You should have a 250ml bag-valve-mask to attach in case you need to manually bag the babyÂ
- Have lots of towelsÂ
- Oxygen saturation probe and stick it to the edge of the resuscitaire Â
- Airway trolley near byÂ
