Recent discussions
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José Roberto Ramos
There is a reasonable rationale for using tactile stimulation without delaying ventilation in term infants but Tactile stimulation should not delay the onset of positive pressure ventilation for newborns who continue to have absent, intermittent, or shallow breaths after birth -
José Roberto Ramos
I believe that the literature reviews do not have enough data for analysis of subgroups such as late preterm, cesarean delivery, facial mask or prongs. The rationale is that newborns with respiratory distress benefit from CPAP and the earlier its use seems to have greater benefit. At the moment we used Cpap for all with respiratory distress in the delivery room. -
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Nadir Gomes de Barros Santos
For me the tactile stimulation should be performed when the new born has a good heart rate and the oxygenation is normal but he does not cry and is hypotonic. -
MARIA ALBERTINA REGO
In countries such as Brazil, with a high absolute number and proportion of preterm newborns greater than 34 weeks and full-term newborns, with variations in the quality of care offered in prenatal care and childbirth care, it is reasonable start CPAP and follow the clinical course integrated with the perinatal history, for spontaneously breathing newborns. The stabilization in great proportion of these neonates prevent from getting worse or even dying before transportation to a neonatal unit of greater level of care and from excess of mechanical ventilation. -
Nadir Gomes de Barros Santos
Used when the newborn has moderate respiratory distress for 1 hour. If the distress persists he is send to the ICU. -
MARIA ALBERTINA Rego
With the available knowledge regarding neonatal resuscitation practices and, in general, from observational studies, tactile stimulation before cord clamping and still in the mother's abdomen may be a recommendation in moderate and late preterm and term newborns, ensuring the start of ventilation as recommended. -
Racire Silva
I have no experience with this mask. It is not available on my service. -
Mônica Teixeira
1) I agree with tactile stimulation in neonatal resuscitation during the drying step as long as ir doesn't prolong the duration of the first steps of resuscitation. -
Mônica Teixeira
2) I believe that CPAP for term neonates may be beneficial for respiratory distress and might reduce time in the oxigentherapy.