Question
Which of the following is a contraindication for this technique
A. Septicemia
B. Tracheoesophageal fistula
C. Meconium aspiration
D. Diaphragmatic hernia
Show Answer
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Correct Answer » D
Explanation
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Ans;D. Diaphragmatic hernia.
This technique is Bag and mask ventilation
Diaphragmatic hernia
Congenital diaphragmatic hernia (CDH) in the newborn presents as cyanosis and respiratory distress.
Breath sounds may be absent on the left side of the chest and the heart sounds shifted to the right. The abdomen tends to be scaphoid.
It may be difficult to effectively ventilate and resuscitate the patient.
If a CDH is suspected, mask and bag ventilation must be avoided.
The patient should be intubated and a sump/replogle tube placed as soon as possible to prevent air from filling the stomach and bowel and thus compromising ventilation further.
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