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Which is the more accurate way to confirm adequate positive pressure ventilation: chest movement or increasing heart rate?

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Which is the more accurate way to confirm adequate positive pressure ventilation: chest movement or increasing heart rate?

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Studies suggest that during neonatal resuscitation, inflation of the lungs is normally followed, within seconds, with a rise in heart rate: consequently, a rise in heart rate is the primary indicator of adequate inflation or ventilation of the lungs. One should, however, always be aware of chest movement, and whether it is inadequate or excessive.

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