Bag and mask ventilation is contraindicated in ?
Correct Answer: Diaphragmatic hernia
Description: Ans. is 'c' i.e., Diaphragmatic hernia o In diaphragmatic hernia, the abdominal contents herniating into thoracic cavity have already compromised ventilation. o Giving bag and mask ventilation to this patient will worsen the condition of the patient as air will also enter in the stomach and fuher compress the lungs. o Indications of Bag and Mask ventilation. Bag and mask ventilation is indicated if even after tactile stimulation. a) The infant is apneic or gasping b) Respiration is spontaneous but hea rate is below 100 beats/minute. Remember Bag and mask ventilation causes abdominal distention as air or oxygen not only enters the lung, but also escapes into the stomach esophagus. Distended stomach presses on the diaphragm and compromises ventilation. Therefore if ventilation continues for more than two minutes, an orogastric tube should be inseed and left open to decompress the abdomen.
Category:
Pediatrics
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