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Breathing - Laerdal SimNewB Manual Del Usuario

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The "sniffing" position aligns the trachea for the best view of the glottis
and vocal cords when properly using a laryngoscope. Cricoid pressure
may be used by the simulation team member. The SimNewB simulator's
jaw is realistically hinged and flexible, for airway and intubation
maneuvers.
The SimNewB simulator vocal cords are realistically shaped and at a
depth of 9.5 cm from the upper lip. If the ET tube is inserted too far,
it will pass into the right main bronchus, giving only right side chestrise
during positive-pressure ventilation. The breath sounds on the left side
of the chest then disappear.
To simulate airway obstructions or very low lung compliance,
the instructor can select the lungs to be partially or fully closed.
Oropharyngeal or nasal pharyngeal airways suitable for neonates may
be used. Lubricate the oropharyngeal or pharyngeal airways before
insertion.
Detection of esophageal intubation
If the esophagus is intubated instead of the trachea, the abdomen will
then visibly distend for each positive-pressure ventilation. Stomach
ventilation is detectable with the stethoscope.
Clinical Simulation
A capnographic sensor suitable for neonatal use can be used to
detect EtCO
output, for example as a means to confirm
2
tracheal intubation contrary to esophageal intubation.

Breathing

Spontaneous breathing
The SimNewB simulator's breathing activity can be assessed from visible
chest movement, from vocal sounds (grunting, crying, etc) and from
breath sounds audible with a stethoscope. The simulator's spontaneous
breathing can be initiated or stopped by the instructor. The breathing
rate can be set to 0- 100 breaths per minute, with 40 breaths per
minute as the default setting.
When connected to a CO
CO
. This function can be turned on and off from the SimPad or from
2
LLEAP.
9
source, the SimNewB simulator can expire
2

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