During positive pressure ventilation of a premature neonate, if the chest is not rising, which action is appropriate?

When providing positive pressure ventilation to a premature neonate, achieving an effective seal and ensuring an open airway are crucial for successful ventilation. The action of moving the jaw forward addresses the common issue of airway obstruction that could prevent effective inflation of the lungs, especially in neonates with anatomical challenges or in cases where the tongue might be obstructing the airway.

When the jaw is moved forward, it helps to open the airway more effectively, allowing air to enter the lungs and promoting chest rise during ventilation. This maneuver can be extremely beneficial in managing airway patency, which is often a critical factor in neonatal resuscitation.

Other methods, while they may be appropriate in certain situations, may not directly address the immediate issue of chest rise. For example, adjusting the mask for a better seal could be useful, but if the mouth or airway is obstructed, it may not lead to effective ventilation. Slightly extending the baby’s head is a technique used to align the airway but might not be sufficient if an obstruction is present. Suctioning the baby's mouth and nose is typically performed if secretions are evident, but if an airway management issue, such as jaw position, is present, suctioning alone may not remedy the lack of chest rise.

In summary,