Recent discussions
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ILCOR Staff
I agree with the recommendations. -
ILCOR Staff
Agree with recommendation for starting with Room Air oxygen for Term Neonates. As a practicing Neonatologist have following this recommendation for term newborns for the past 10 years and now we have definite science to show that is good practice to start resuscitation in term newborn with room air -
ILCOR Staff
Usually just ensuring adequate ventilation with a lower oxygen concentration is enough to transition the baby unless there is something else going on. Trouble shooting and making sure that you are adequately ventilating works. People seem to want to jump to the next step and next step when the first is not being done properly. And sometimes this can lead to invasive procedures with poor results. The most important thing is using good judgement as you proceed. -
ILCOR Staff
I agree with the data as it is presented here. -
ILCOR Staff
The ILCOR draft recommendations are consistent with the evidence and form the basis for valuable guidelines across the globe. The knowledge gaps identified are important areas for future study. Effects of Oxygen administration with delayed cord clamping and titration to pre-ductal SpO2 targets. -
ILCOR Staff
Throughout the analysis, the use of the phrase "no benefit or harm" leaves grammatical room for misinterpretation. Does this mean "no (benefit or harm)" - in other words, no difference? Or does it mean "(no benefit) or harm" - in other words, outcomes are the same or worse? Perhaps a more clear wording can be found. Otherwise, thank you for an exhaustive, comprehensive analysis of the available data. -
ILCOR Staff
Agree with the recommendations for resuscitating Premature infants less than 35 weeks to start with the lower concentration. FiO2 -
ILCOR Staff
Agree -
ILCOR Staff
Timely article. Ebp has been proving this. -
ILCOR Staff
Dear Highly Respected All Committee members, Present resuscitation practices are OK for preterm babies who are mildly sick/ almost well babies. It is not acceptable in moderate to severely ill babies those are limp, moderate to severe respiratory distress and gasping for oxygen. They deserve fast track resuscitation that means use higher oxygen concentration, use Neo Puff/ PPV to make them better quickly and to achieve normal oxygen saturation ( 90-94% ) within 1 minute ( not 10 minutes ) and reduce the oxygen supply as soon as reaches normal oxygen saturation. In first 30 seconds, we can dry, stimulate, suction and give oxygen at the same time. Newborn babies brain needs 3-4 mL of oxygen per 100 g of brain tissues per minute ( Ex: 1 kg baby needs about 3-4 mL of oxygen per minute considering brain weighs 100 g that is 10% of body weight). Besides other organs need oxygen as well. Waiting, watching, and monitoring pulse oxymetry and keeping them blue for 10 minutes are simply harming newborn babies brain, destroying their future and at least putting children behind the class. Pulse oxymetry don't pick up normal saturation for couple of minutes for poor perfusion in sick babies. We must prevent brain damages by all means. Honestly I see billions of dollars future litigation in USA and other countries against our respected organization. Litigation already started by individual lawyers in USA against the institution and got millions of dollars in each cases. We must protect our organization as well as our children. They are the future. I hope that we take this matter very seriously. In USA, EX Fed chairman Dr. Greenspan said : " No institution is too big to fail ". It is my utmost request to all of you to make them better ASAP.