Recent discussions
-
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. -
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 -
Belize Barreto
While we make the first step resuscitation with the infants , we are simultaneously making tactile stimulation. But if the baby is totally without response, he needs PPV . If the baby is preterm we must be more gentle to don’t hurt the skin -
Belize Barreto
We use cpap (with peep 6) at birth room if it’s necessary, moderaste distress term newborns . Or peep if extreme preterm with mild distress -
José Roberto Ramos
I believe that laryngeal mascara is an excellent tool option to help start breathing newborns. You will only need training in our country for proper use. -
Carmen Silvia Martimbianco de Figueiredo
Time spent drying the skin would be sufficient and necessary tactile stimulation. Indicating tactile stimulation in the Neonatal Resuscitation may delay the start of ventilation in not vigorous newborn , increasing risk of death and poor neurological outcome. -
Carmen Silvia Matimbianco de Figueiredo
The use of early cpap in the delivery room, in newborns that shows spontaneously breath - term/ late preterm and preterm - with mild or moderate distress has been used in our hospital, but we is still resistance on the part of professionals. Cpap in this case may help alveolar recruitment, cardiovascular adaptation, avoid intubation, helps to reduce ICU admissions. There is some questions that need more studies as incidence of Air Leak Syndrome. Whem applied, we observed satisfactory evolution of respiratory discomfort, less time of O2 use, but we have no controled trial to support our observations. -
Carmen Silvia Martimbianco de Figueiredo
Supraglottic device can be useful in ventilation in the delivery room in newborns with difficult airways. This device may reduce the need for tracheal intubation, is also useful in ineffective mask ventilation Unfortunately we do not have this device in our delivery room. -
Nadir Gomes de Barros Santos
Never used but has great merit and reanimariam courses should include this technique. -
MARIA ALBERTINA REGO
In Brazil, where intubation is a medical act, the supraglottic device is promising for non-medical professionals. With the results of observational studies, it will be important to assess the effectiveness of training programs.