Recent discussions
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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. -
Terri Cavaliere
I am in agreement with the call for further investigation before recommending the use of CPAP in term newborns with respiratory distress. -
cibele lebrao
The use of effective cardiac rhythm monitoring in the delivery room can shorten decision making during resuscitation. The investment brings invaluable benefits -
AMARILIS TEIXEIRA
I agree that monitoring heart rate provides better assesment of the newborn during ressuscitation. However, Hospital must provide the equipment, and this is impossible in some places. -
Marcela Damásio Ribeiro de Castro
The cost of purchasing and implementing new devices may be, no doubt, an obstacle. -
Marcela Damásio Ribeiro de Castro
The use of heart rate monitoring provides accuracy to the assesment of the newborn during ressuscitation. Hospital must make an effort to provide the toll. -
Marcela Damásio Ribeiro de Castro
Careful suctioning is, in many newborns, necessary when there is execessive fluid interfering with respiration -
ABDULMAJEED KHAN
DURING TRANPORTATION IT IS DIFFICULT TO DO CONVENTIONAL CPR DUE TO MOVING SITUATION. IT MIGHT BE WISE TO USE MECHANICAL COMPRESSION TILL STEADY SITUATION -
Shamya Rached Bandeira
In our service we do not have a laryngeal mask; but I believe it would be very helpful to use in places where there are no experienced people in orotracheal intubation or in newborns with orotracheal malformations -
jos bruinenberg
Thanks for this recommendation which is in line with the culminating evidence. I am slightly worried however about the practical implications. After introducing the laryngeal mask airway, the next step would be to provide inflation breaths with a pressure of 30 cm H2O in a child>32 weeks of gestation, based on literature of the face mask. . It has not been evaluated if this pressure is the right pressure in case of a laryngeal mask airway. Due to less airwayleak and a position near the trachea, this might be an inappropriate high pressure leading to an increased change of pulmonary damage (pneumothorax, increased inflammation, etc.). So the recommendation of the facemask can not be transferred to another airwaymanagement device. I am interested in your response to this comment.