How to… set up the resuscitaire

Cite this article as:
Taryn Miller. How to… set up the resuscitaire, Don't Forget the Bubbles, 2021. Available at:
https://doi.org/10.31440/DFTB.31358

Check that the resuscitaire is plugged in and connected to the oxygen and air 

  • On button 
  • Light button 

Top to bottom run through 

Top panel  

  • Clock or timer to time your resuscitation – (start, stop and reset) 
  • Temperature settings 
    • Pre-warm – The machine will automatically set to pre-warm
    • Manual – Use the up button to change to manual 
    • Up and down buttons – Dial up the temperature using these buttons in the manual setting  
    • Baby – If using a manual continuous saturation monitor plug into here and then set to baby 

Key locks the settings so it cannot be changed again unless you press it again

Blender 1:13

This blender corresponds to the Fio2 of the gas coming out of the auxiliary gas port
You can dial it up or down
Most people set the initial FIO2 to 0.21 so that you are resuscitating on air 

Suction 1:25

Turn on suction using the switch
Increase pressure by turning the suction dial 
When you occlude the suction device the needle on the dial will move up and down to show how much negative pressure is exerted 

Ventilation settings 1:40

Autobreath

T piece is attached to auxiliary gas port shown 

Working from left to right 

  • Rate – most people start with an initial rate of 40 breaths per minute 
  • PEEP – If you are not setting the peep with valve on top of the T piece device you can set it using the PEEP dial 
  • On and off switch for autobreath 
  • Airway pressure relief – also known as the peak inspiratory pressure – most people like to set this at a maximum of 30 to begin with 

Testing pressures: 2:13 

To test the pressures when the T-piece is connected to the gas outlet:  

  • PEEP = Occlude the valve inside the mask, the needle will move to the desired level of peep 
  • Peak inspiratory pressure – occlude the valve at the top of the T-piece

Flow rate 2:31

  • This dial controls the flow rate through the gas outlet 
  • Most people set it at 8 litres per minute 

Gas outlet 

  • Below this you have an alternative gas outlet that always runs on 100% oxygen 
  • You can attach a water or anaesthetic circuit here and adjust the flow rate in the same way as above using this dial 

Gas Supply 

  • These dials show much how air and oxygen are in the tanks behind the resuscitaire 
  • This switch should be used whenever the gases are in use

Resuscitaire run through 

There is a baby being born – get your resuscitaire ready and primed 

  1. Plug the resuscitaire in 
  2. Connect to the gases – black to air, white to oxygen 
  3. Turn the resuscitaire on and turn the light on 
  4. Select manual and turn the temperature all the way up 
  5. Set your blender to an fi02 of 21 
  6. Check your suction – one end connects underneath the resuscitaire, the other end connects to the yanker. Check it is working by occluding the end 
  7. Set your Autobreath settings – 
    • Rate of 40 breaths per minute 
    • Peep of 4 or 5 and turn the peep on  
    • Flow rate of 8 
    • Connect the tubing to the outlet
  8. Test the pressures  
    • Occlude the mask to check PEEP isn’t too high 
    • Occlude the valve at the top of the T-piece to check your peak inspiratory pressure 
  9. You should have a 250ml bag-valve-mask to attach in case you need to manually bag the baby 
  10. Have lots of towels 
  11. Oxygen saturation probe and stick it to the edge of the resuscitaire  
  12. Airway trolley near by