Abstract
Autopsy studies of infants with birthweights ≥1500g have shown significantly more cerebellar and intraventricular hemorrhage in neonates dying after ventilation via a face mask compared with those ventilated via an endotracheal tube (ETT)1. The intracranial hemorrhage (ICH) has been attributed to severe occipital compression and head molding from the velcro band attachment for the mask. The 99 survivors (birthweight ≥1500g) who were ventilated during the same time period have been followed prospectively for two years to determine the incidence of central nervous system sequelae.
The differences in psychometric scoring were independent of birthweight or duration of ventilation. Five of the six severely retarded mask survivors had either cerebral palsy or hydrocephalus. All six had ICH as neonates. It is our conclusion, that the use of mask ventilation, compared to ETT ventilation, is associated with an unacceptably high incidence of severe retardation and that these defects are related to ICH.
1. Pape, K. et al. Pediatrics, 58:473, 1976.
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Kalman, E., Pape, K., Ashby, S. et al. 982 MASK VENTILATION IN PREMATURE NEONATES IS ASSOCIATED WITH SEVERE RETARDATION. Pediatr Res 12 (Suppl 4), 527 (1978). https://doi.org/10.1203/00006450-197804001-00988
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DOI: https://doi.org/10.1203/00006450-197804001-00988
