Modifying an ill-fitting simple face mask
نویسندگان
چکیده
We inspected a 1-month-old patient weighing 2 kg with Pierre Robin syndrome, Pulmonary Atresia, Cephalhematoma, Atrial Septal Defect (ASD), and Patent Ductus Arteriosus (PDA). A Contrast Enhanced Computed Tomography (CECT) of thorax was planned for suspected mediastinal mass, Non Operating Room Anesthesia had to be performed. Searching proper mask that fits pediatric patients, especially children syndromes such as micrognathia palatal deformity, is extremely challenging because the smallest available does not always fit properly. Considering financial limitations patient's parents, we decided modify already by using cotton wrapped paper tape instead asking them purchase neonatal oxygen mask. The two-third sufficient cover nose mouth up chin, remaining one-third open air below chin filled prevent undesirable entrainment loss Fraction inspired Concentration Oxygen(FiO2).1Frey B. Shann F. Oxygen administration in infants.Arch Dis Child Fetal Neonatal Ed. 2003; 88: F84-F88Crossref PubMed Google Scholar Next, three-point fixation performed properly (Fig. 1).Non-Operating (NORA) successfully performed, stable vitals throughout procedure (Table 1). However, no laboratory or imaging studies were test effectiveness modified clinical condition did change during after anesthesia. At present, under care team. In conclusion, modifying equipment without compromising safety quality more necessity than choice.Table 1Vital signs at different intervals NORA.ParametersBefore application (0 min)After (At 4 8 12 min)Heart Rate120/min130/min134/min128/minBlood pressure88/6092/6090/5692/64Respiratory rate34/min32/min34/min34minSpo290%94%94%94% Open table new tab Not applicable.
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ژورنال
عنوان ژورنال: Pediatrics and Neonatology
سال: 2023
ISSN: ['1875-9572', '2212-1692']
DOI: https://doi.org/10.1016/j.pedneo.2023.03.004