Recent discussions
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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
The use of EEG on the delivery room it’s complicated on out reality. Most of the times we don’t have the monitor and/or the eletrodes. And most of the time the team In the delivery room doesn’t have all the resources to avaluate the baby. So, generally, we still use auscultation with oximetry, always trying to not delay advanced resuscitation. -
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