Recent discussions
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Nádia Sandra Orozco Vargas
I agree that the use of vídeo laringoscopy Will be useful and brings a Lot of benefits in the medical assistance to the prematures and microprimes. With less cerebral damage.
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adriano peris
Should the duration of CPR cycles be different in the presence of in-hospital cardiac arrest distinguishing between monitored patients (ECG, Pulse O2......) and non-monitored patients?
After the onset of ROSC in a controlled environment (ED, ICU, OR..) knowing the vital parameters that precede cardiac arrest, the duration of the cycles must take into account the state of perfusion that precedes cardiac arrest? For example, if the average pressure was 80 mmHg, even if adrenaline-dependent, is it convenient to re-establish a perfusion attempt without interrupting the CPR cycles?
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marije hogeveen
I would like to thank the authors for their work. This provides us with an excellent overview on the latest evidence on the use of video laryngoscopy. Based on this evidence, I support the recommendations, especially because the main recommendations is stated as conditional on training and resources
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marije hogeveen
is there an EtD table available for easier reading?
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Nicole Udse Luis
Acredito que a recomendação de uso de videolaringoscopio seria benéfico para o procedimento em recem-nascidos prematuros. Não estaria disponível de imediato em todas as unidades mas uma recomendação nesse sentido indicaria a importância do material. Acredito que traria menor risco ao procedimento com intubacoes mais rápidas e menos tentativas.
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Celso Rebello
The use of video laryngoscopy with appropriate equipment for extremely premature infants (0-0 blade) is a step forward both in the practice and in the teaching of procedures that require laryngoscopy. This includes not only intubation (which is the subject of this public consultation) but also the administration of surfactant through a thin catheter. I agree with the proposed recommendation.
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Paulo Fernando Martins Filho
I do not face any difficulty in performing neonatal intubation using the traditional method. But I understand that this tool could help us optimize the technique and improve our intubation outcomes. However, the necessary equipment is expensive and scarcely available in maternity wards in Brazil.
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Ana Isabel Coelho Montero
Muito interessada em saber do resultado
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Chris Lindsell
As a person who, in their profession attends many arrests. I see the use of mechanical devices particularly the Lucus as very problematic due to poor placement and time off the chest. There needs to be more emphasis that these should not be used routinely when not necessary. I also see trauma to the skin often and am aware of the the psychological impact from family members, especially with the Lucus when hands are attached to the machine.
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Mohamud Daya
Without high-quality data supporting AL vs AP pad placement in cardiac arrest, both should be allowed as options, as they are in the current ERC guidelines, without recommending AL as a preferred approach. Many factors influence impedance, including pad size, pad position, intervening tissue (an issue with obese patients), timing (lungs expanded vs not), pressure on the pads, etc. AL pads may also be easier to misplace than AP, though we need more data to understand this.