You are performing the MR. SOPA ventilation corrective steps on a term baby. You have adjusted the mask and repositioned the head. You have suctioned the mouth and nose and opened the mouth. There is still no chest movement. What is the next step?

A. Increase the pressure in 10-15 cm H₂O increments, up to 30 cm H₂O.
B. Increase the pressure in 10-15 cm H₂O increments, up to 40 cm H₂O.
C. Increase the pressure in 5-10 cm H₂O increments, up to 50 cm H₂O.

The next step in the MR. SOPA neonatal resuscitation technique after mask adjustment, repositioning of the head, suctioning of the mouth and nose, and opening of the mouth when there is no chest movement, is to increase the pressure in 10-15 cm H₂0 increments to a maximum of 40 cm H₂0.

Explanation:

In the MR. SOPA (Mask adjustment, Reposition airway, Suction mouth and nose, Open mouth, Pressure increase, and Alternative airway) neonatal resuscitation technique, if you've adjusted the mask, repositioned the head, suctioned the mouth and nose, and opened the mouth, but are still not seeing any chest movement, your next step would be to adjust the pressure. According to the guidelines, you should increase the pressure in 10-15 cm H₂0 increments, up to a maximum of 40 cm H₂0 (option b). This change in pressure should hopefully stimulate a ventilation response and improve chest movement. If chest movement still does not occur, consider an alternative airway as the final step in the MR. SOPA approach.

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adarshjanise46 adarshjanise46 · Answer 2 · 2024-11-07T13:40:52-05:00

Final answer:

In neonatal resuscitation, if there's no chest movement after all other steps of the MR. SOPA protocol, the correct step is to increase the pressure in 10-15 cm H₂0 increments, up to 30 cm H₂0.

Explanation:

The MR. SOPA (Mask Adjustment, Reposition Head, Suction Mouth and Nose, Open Mouth, Pressure increase, Alternative airway) is a protocol used in neonatal resuscitation to ensure a newborn's breathing. When chest movement is still not observed after correct execution of the first four steps, we must consider increasing the ventilation pressure. The next step is to increase the pressure. Given the options provided, the correct choice is a. increase the pressure in 10-15 cm H₂0 increments, up to 30 cm H₂0. This move aims to enhance lung inflation and improve oxygen delivery, being mindful of the delicate nature of a term infant's respiratory system.

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