Recent discussions
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LIGIA RUGOLO
One aspect not addressed in this review is maternal temperature during delivery. Wouldn't it be interesting to monitor maternal temperature as an intervention to prevent preterm hypothermia? -
Racire Silva
We interrupt ventilation and still do not add supplemental O2, since, if we are in external cardiac massage, we do not have effective respiratory movements. -
Racire Silva
The 2 overlapping thumbs technique is still a priority in our service. -
Racire Silva
We still use below 60. -
Racire Silva
We maintain 3 compressions for 1 ventilation -
Racire silva
The use of plastic bags to maintain euthermia should be extended to preterm infants weighing up to 2 kg, if they undergo resuscitation. Those who wouldn't continue to benefit from skin-to-skin contact. -
Racire Silva
The use of the stethoscope is still the most used, but little by little we are becoming more accustomed to placing the electrodes when necessary. -
Racire Silva
In our service we never had access. -
ILCOR Staff
Kate Berg, ALS ILCOR Chair: Thank you for your comments, and we look forward to reading about your planned trial. Your recently published observational study was not included in the present review as there was no comparison group (patients who did not receive ECPR), so it did not meet inclusion criteria for this review, but we agree that such large cohort studies will continue to contribute valuable information to the field. Regarding temperature, we are not aware of evidence supporting temperature control with hypothermic temperatures being more beneficial in patients receiving ECPR than in comatose postarrest patients generally, and anticipate that treatment recommendations on temperature management will continue to evolve as more trials emerge. We agree that whether temperature management at hypothermic or subnormal temperatures is beneficial in patients receiving ECPR is a knowledge gap and will discuss adding this. -
Rossiclei de Souza Pinheiro
Hypothermia has been associated with increased mortality, we have no doubts, but what we can do to reduce the risks: I believe that all interventions are important but safety is necessary. The use of thermal mattress has not yet demonstrated quality work, mainlyin very low weight drinks. We will invest in low-cost and security interventions.