Recent discussions
-
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. -
Amanda Freitas
The cost of a respiratory function monitor in the delivery room is very high and can delay or hinder resuscitation maneuvers when used by teams poorly trained with the equipment. -
Andrea Lube
During resuscitation, heart rate assessment is essential for defining the next step. In the experience of our service, despite the availability of a cardiac monitor, it is very difficult to place the electrodes. Equipment manufacturers could develop electrodes shaped to adapt to the limbs quickly, or have a mattress with the electrodes for adhesion to the back. In advanced resuscitation, it is not uncommon for the wrong frequency to be measured, with consequent actions that are more aggressive than necessary. We tried to use vascular doppler, but the ventilation noise gets in the way a little. -
Marcus Machado
I agree to carefully aspirate excess amniotic fluid from the mouth and nose when in sufficient quantity to impair the initiation of efficient breathing. -
Gleise Costa
I think it is not so simple to place the oximeter in the delivery room for monitoring, although its importance for more accurate and faster measurements is immeasurable. Teams need more training and there are institutions that need to acquire the device.. -
Roger Brock
The evolution of the newborn, (general status, breathing, skin color, heart rate, should determine the necessary or not follow-up with monitoring -
Liza Edmonds
This would be an excellent tool. My only concern might be availability in lower resource environments as this might limit its availability. -
Marco Pavanelli
The use of cardiac monitoring promotes an important improvement in heart rate reading time during neonatal resuscitation, thus facilitating decision making. We should invest more in this method and train our teams to use it. -
Marco Pavanelli
Upper airway aspiration is only necessary when you have excess fluid or are causing airway obstruction. Otherwise, it would be avoided due to the chance of causing vagal reflex and apnea with bradycardia. -
Liza Edmonds
While the technology for the use of respiratory monitoring might one day be accessible and portable it will need to be considered in the future. I agree that without the evidence it would suggest it is not ready to become a routine part of resuscitation.