What pressure range should be used for initial ventilation when performing PPV?

The correct pressure range for initial positive pressure ventilation (PPV) in neonatal resuscitation is 20-25 cm H2O. This pressure is considered effective for delivering adequate ventilation to a newborn who is not breathing adequately on their own.

Using this pressure range helps ensure that sufficient air enters the lungs to expand them and facilitate oxygenation. It strikes a balance between providing enough volume to reach the lungs while minimizing the risk of over-distention, which can lead to injury or complications such as pneumothorax. During PPV, it's crucial to monitor the newborn for signs of adequate ventilation, such as improvement in heart rate and color. If these don't improve, the provider may need to reassess the ventilation technique or adjust the pressure accordingly.

The other pressure ranges fall outside of the effective and safe guidelines established in the Neonatal Resuscitation Program, which emphasizes protecting the lungs during initial ventilation support. Therefore, using the established range of 20-25 cm H2O is vital for promoting a successful resuscitation outcome for the newborn.