Recent discussions
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Liza Edmonds
This would be an excellent tool. My only concern might be availability in lower resource environments as this might limit its availability. -
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. -
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. -
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. -
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 -
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 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