Recent discussions
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Marcos Silva
The importance of this tool for precision in decision making is indisputable. All units must be equipped with monitors for heart rate control. -
Marcos Silva
It is already known that suctioning the nostrils and mouth of vigorous newborns is of no benefit. However, it is still cultural that many colleagues still practice this step. I only perform aspiration of the airways of neonates with excess secretion that can prevent the reestablishment of effective breathing. -
Marcos Silva
Respiratory rate does not seem to be a safe parameter in the assessment of decision-making during resuscitation because it can be erratic, causing confusion in the assessment and delay in ventilation. -
Mônica Teixeira
I am in favor HR monitoring by chest auscultation, as it is faster than the oximeter or the DR ECG. If the reanimation passes two minutes, then the ECG would be ideal, assuming there is one available, which isn't often the case. Also, the ECG requires training about how to use as well as to interpret its results. -
Mônica Teixeira
Amniotic Liquid Sucction must be used if necessary -
Mônica Teixeira
I think that neonatal reanimation is supposed to be a fast (about 10 to 20 minutes) and automated dynamic and the HR monitoring in the Delivery Room may slow it down. For that reason, my opinion is that it is unnecessary in the DR. -
Maria José Matos
I agree with the comment -
CARLOS RODRIGUES
The big problem is that because newborns are not aspirated, we have had cases in which the diagnosis of esophageal atresia was not made. -
Andrea Lube
Routine suctioning of the nostrils and mouth of vigorous newborns does not bring benefits, on the contrary, it can cause serious side effects. In our service, we do not perform routine airway aspiration. Some colleagues are still reluctant. We only perform aspiration of the neonates' airways with excess secretion that may prevent the reestablishment of effective breathing. -
Amanda Freitas
Airway aspiration should be maintained and evaluated according to the evolution of the baby: if you have signs of airway obstruction, perform aspiration more gently and evaluate next aspirations due to side effects. An important point, in the case of our reality, is elective cesarean sections without labor where babies are sometimes born with a lot of secretion in the upper airway and requiring aspiration most of the time.