Recent discussions
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ILCOR Staff
Continued research may help us in the future Agree with current recommendations -
ILCOR Staff
Continued research in this area is important Agree with current recommendation -
ILCOR Staff
Dear Highly Respected Committee members, Present resuscitation practices are OK for full term 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, cyanotic 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 ( 95-100% ) 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, minimal 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: 3 kg baby needs about 9-12 mL of oxygen per minute considering brain weighs 300 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. -
ILCOR Staff
At our setting we start with 100% if we are doing chest compressions, other then that we start at 21% and increase as needed based on the level of resuscitation as needed. -
ILCOR Staff
We are a low resource setting and I we use 21% oxygen and increase as needed depending on the needed of the resuscitation and use of O2 sat. -
ILCOR Staff
Agree with the findings of the study. -
ILCOR Staff
Agree with findings of study. -
ILCOR Staff
If you think about the lung maturation of a term/late preterm, the majority will have some surfactant production in place, So starting at 21% seems logical. You may want to start a higher if your infant has other risk factors such as diabetic mother, meconium-stained fluid, or hypolplastic lungs. -
ILCOR Staff
Please suggest the source of the cost savings with 21%. -
ILCOR Staff
As a 20 year veteran of NICU resuscitation I agree with starting at a lower concentration (30%) and adjusting upward as needed per pulse ox or ABG. We have had excellent results with keeping our FIO2 low . Also with giving surfactant and extubating quickly we have been able to keep those levels low.