Recent discussions
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Elene Vanderpas
As previous evidence has shown that the 2-thumb technique is superior to the 2-finger technique, why does the American Heart Association's instructional video for parents/caregivers, "Infant CPR Anytime", teaches the 2-finger technique? -
Jamie Tegart
Regardless of gestation or response to initial steps all our initial HR (heart rates) are achieved by auscultation. We do place ECG & SpO2 devices on infants who remain non vigorous after initial stimulation. ECG is definitely quicker and more accurate than pulse oxymetry for results, especially in those with a lower HR. -
Silvia Heloisa Moscatel Loffredo
Matter of great importance. Newborns, especially when born prematurely and submitted to advanced resuscitation, reaching the stage of chest compressions, require actions that minimize the deleterious effects of hypoxemia, as well as diffuse multisystemic injuries caused by hyperoxia.Thus, healthcare institutions must recognize the need to monitor oxygen saturation, the use of pulse oximetry, allowing further studies to clarify how supplementation of supplementary oxygen should be indicated. -
Silvia Heloisa Moscatel Loffredo
Considering the expressive percentage of neonatal deaths due to asphyxia and that the systematic review showed that heart rate assessment can be obtained more quickly and accurately using the Electrocardiogram (ECG) during newborn resuscitation in the delivery room when compared to other evaluation methods, I believe that these studies will be able to instrumentalize the limited resources institution's managers, showing them that obtaining the ECG equipment to qualify asphyxiated newborn assistance may impact the reduction of expenses with treatment of complications of the asphyxia process. -
Silvia Heloisa Moscatel Loffredo
Being a decisive moment in the resuscitation of the newborn in the delivery room, the explanation of the concerns that refer to the technique during neonatal chest compressions mentioned in this CoSTR must be performed. The continuation of further studies are extremely important for this reason. -
Jamie Tegart
Our hospital currently has access to stethoscope, pulse oximeter & ECG. For most codes, initial HR is still obtained by stethoscope as it does not require infant to be moved from Mom unless necessary. ECG monitors are brought to codes or pre-set when time allows. The use of pulse oximetry is more common if the infant is not responding to initial steps, however it is not generally accurate if the HR remains low and shouldn't be solely relied on. While more costly, increasing access to ECG monitors could allow for improved outcomes during resuscitations. -
Jamie Tegart
Currently, our unit performs initial steps on mom with stable infants only. All preterm infants or those deemed as high risk are immediately transferred to the infant warmer. An interesting topic for future review/research would be to analyze temperature differences in infants (greater than 32 weeks?) receiving delayed cord clamping and ongoing care compared to those infants requiring resus on moms chest while the cord is still intact. -
Jamie Tegart
Currently, our unit performs initial steps on mom with stable infants only. All preterm infants or those deemed as high risk are immediately transferred to the infant warmer. An interesting topic for future review/research would be to analyze temperature differences in infants (greater than 32 weeks?) receiving delayed cord clamping and ongoing care compared to those infants requiring resus on moms chest while the cord is still intact. -
Mohammad Abdul MANNAN
Cord pulsation (6 sec x 10) for assessing heart rate is better for both LMICs and others to avoid pulseless electrical activity (PEA) and other errors of pulse oximetry. -
Jamie Tegart
Our unit currently only provides care on the Mother beyond the initial stage for stable infants. Unstable or preterm infants are moved to the warmer. What would be beneficial would be to compare temperature differences in cases of longer delayed cord clamping and ongoing care or resus done on the mother or while the cord is intact