Laerdal LGH NeoNatalie - Manual (Page 3)

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Functions and features
Head, neck and airway
A soft face skin with mouth and nose is attached to the head with snap fasteners.
An air passage is provided from the mouth to the lung. The airway is closed when the head is flexed
forwards or far backwards, and open when the head is slightly extended or in the neutral position.
Lung ventilation
When the airway is correctly opened, the lungs of NeoNatalie can be ventilated with
(a) ambient air inspired by a bag-valve-mask resuscitator using a suitable mask size
(b) exhaled air inspired mouth-to-mouth and nose, or mouth-to-mask
Each effective ventilation lifts the chest wall visibly. Expired air from the simulator escapes through
the mouth, which causes the chest wall to fall to its original position. The simulator is not designed for
exhaled air resuscitation (mouth-to-mouth/nose) when shared by more than one user, since this requires
thorough cleaning between users, and also replacement of lung and airways.
Assessment of heart activity
When the simulation bulb set is attached, pressing the small red bulb rhythmically creates simultaneous
(a) pulse beats in the sealed Umbilical Stump which extends from the mannequin (pulse beats can be
felt when the stump is held between forefinger and thumb), and
(b) heart sounds in the area between the chest nipples (auscultation possible using a stethoscope).
Binding/clamping and cutting the cord
To prepare for practicing cutting the cord, do the following:
1. Attach the connector end of the separate Umbilical Cord to the Umbilical Stump.
2. Apply an Umbilical Tie or Clamp around the cord, approx. 2 cm over and under the connector.
3. Simulate cutting the cord by detaching the cord at the connector, leaving the ties or clamps in place.
(Actual cutting of the cord would quickly reduce the provided cord length.)
Chest compression
NeoNatalie features natural chest compliance allowing chest compressions to be practiced as
recommended for newborn babies and infants. Each chest compression which depresses the center
of the chest wall the recommended distance is recognized as acceptable, and immediately signalled by
an audible click.
Note: Practicing chest compressions is not part of the Helping Babies Breathe training program.
To simulate vital signs
To help learners recognize the newborn baby’s
condition during scenario training, a dual function
squeeze bulb connected by a twin pneumatic tube to
NeoNatalie allows the instructor or informed co-trainer
to simulate spontaneous breathing, umbilical pulse and
heart sounds. A separate squeeze bulb with a sound unit
allows simulating birth cries.
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