Recent discussions
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MARCIA ROJAS
AS A DOCTOR AND PROFESSOR I BELIEVE IN THE FUTURE AND THAT RESSUSCITATION PROCEDURES WITH MORE SECURE YEAR AFTER YEAR TO THE NEWBORN. -
Ana Goncalves
Delivery room heart rate monitoring is an excellent tool when available. The team needs to be trained to use this technology. Our hospitals need to invest in monitors and training. -
Ana Goncalves
Suctioning of clear amniotic fluid should be provided if appears to be excessive fluid pouring out from the mouth and or nose, interfering with satisfactory respiration. -
Giselda Silva
I think the heart rate in the delivery room is a fundamental point in the initial evaluation of the newborn, and maternity hospitals should strive to monitor especially newborns at risk (preterm, asphyxia, anyway), in special cases having at least 1 room with indispensable material. -
Liza Edmonds
I think these guidelines recommendations are reasonable. They suggest routine suctioning of clear amniotic fluid should not occur and this would not preclude us suctioning if it is excessive or needed -
Liza Edmonds
I think the recommendation for the use of supraglottic airways would be valuable if it is placed in the context of an escalation of care when unable to ventilate. My concerns would be that if this was nested in an escalation plan it might delay ventilation. Careful training and attention to detail usually results in the ability to ventilate. I think if this sat alongside a ventilation escalation it would work but separately there is the potential of the unintended consequence of poor ventilation -
AMARILIS TEIXEIRA
Suction of clear amniotic fluid can be useful when there is excessive fluid in the airways (mouth and or nose), interfering with satisfactory respiration. -
ANENISIA ANDRADE
I agree that suctioning of clear amniotic fluid from the nose and mouth should not be used as a routine step for newborn infants at birth. -
Karla Dal Bo Michels
Delivery room heart rate monitoring is an excellent evolution. However, just as important, it is a resuscitation team prepared for use. We need to train our healthcare teams more how to use the monitors and make an effort for our hospitals to invest in this technology. -
Anenisia Andrade
I believe that auscultation with pulse oximetry is enough for heart rate assessment at the delivery room. Only in case of suspicions of heart disease or other problems, it will be monitored with ECG at an intensive care, for example, or it will be searched with more diagnostic tools.