|LETTER TO EDITOR
|Year : 2010 | Volume
| Issue : 3 | Page : 266-267
Indigenous neonatal facemask
Lalit Kumar Raiger
Department of Anaesthesiology, RNT Medical College, Udaipur, Rajasthan, India
|Date of Web Publication||10-Jul-2010|
Lalit Kumar Raiger
Dilshad Bhawan 69, Chetak Circle, Udaipur, Rajasthan - 313 001
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Raiger LK. Indigenous neonatal facemask. Indian J Anaesth 2010;54:266-7
This report is to highlight how an emergency situation let to the creation of an indigenous mask to overcome an emergency situation. Routinely, the Jackson-Rees modification of Ayre's T-piece breathing circuit with a Rendell Baker Soucek mask , is preferred for ventilation in neonatal anaesthesia, as this mask has a malleable edge to fit on the face with low dead space. th
Following an unfortunate electric short-circuit in one of the paediatric emergency OT, we had to shift the paediatric surgical emergencies to another OT. At midnight, a 3-day-old neonate requiring emergency laparotomy was posted for surgery and as the preparation for anaesthetic induction took place, the neonatal face mask was found missing.
This piece of equipment seems to have been left inadvertently in the disabled OT. Since there was no replacement at that time of the night we created our own indigenous neonatal face mask from empty disposable PVC-made fluid bottle.
The upper part of the bottle (tapering part) was cut transversely [Figure 1]a, keeping the diameter of the bottle such that it comfortably covered the nose and mouth of the baby. Now the cap of the bottle, through which the intravenous drip-set spike is inserted, was cut to fit the patient end of Jackson-Ree's circuit with an angle piece (15 mm) [Figure 1]b.
Cotton and an adhesive tape were fixed to the circumference of the 'face mask' to prevent injury to the face. We were thus able to ventilate the neonate and proceed with anaesthesia uneventfully.
| References|| |
|1.||Davies NJ, Cashman JN. Lee's Synopsis of Anaesthesia. 13 th ed. Butterworth-Heinemann: Elsevier; 2006. p. 620. |
|2.||Dorsch JA, Dorsch SE. Understanding anaesthesia equipment. 5 th ed. Batlimore, USA: Williams and Wilkins; 2008. p. 445. |