Recent discussions
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Rossiclei Pinheiro
We should consider that in low-income countries we do not have available EEG in primary care hospital, so auscultation with conventional stethoscope is still an option. If a pulse oximeter is available, it can be used to confirm the heart rate along side with the stethoscope, including in babies with a pulseless electrical activity where the EEG also does not work. Remembering that in deliveries outside the hospital the stethoscope is the only option for cardiac auscultation. -
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 maintain 3 compressions for 1 ventilation -
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
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.