What peak inspiratory pressure should be used during positive pressure ventilation?
There is limited evidence to make a strong recommendation on initial peak inspiratory pressures for neonatal resuscitation. It is suggested that initial peak inspiratory pressures should be 20 cmH 2 O. Peak inspiratory pressures may be increased if ineffective ventilation cannot be resolved by repositioning the baby’s head, suctioning the oropharynx, reapplying the face mask, lifting the jaw forward, and ventilating with the mouth open. If pressures greater than 30 cmH2O are required, endotracheal intubation should be considered. Further research is required to clarify this question.
