Recent discussions
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Natacha Hébert
I am a pediatrician in a community hospital… i am a bit surprised with this new recommendation as we too only used the laryngeal mask at the end of MR SOPA… the technique for inserting it is quite simple however… we may save quite a bit of time if we don’t have too worry as much about MR SOPA…?? Food for thought… -
Marcos Silva
The use of the larynx mask in our region is not a reality, as we do not have these supplies, even in resuscitation courses we do not have it to teach the proper handling by the students. But I believe it is an effective alternative in difficult incubation. -
MARINA CARVALHO DE MORAES BARROS
Performing tactile stimulation in neonates with respiratory depression soon after birth can delay the onset of ventilation, causing hypoxia, which cannot happen. Thus, I understand that the two interventions can be used in association, that is, a professional starts ventilation and another can perform the stimulation of the soles of the feet. This is a combined intervention that should be tested in RCT before being implemented. -
MARINA CARVALHO DE MORAES BARROS
I agree with the use of CPAP in preterm infants with respiratory distress after birth, aiming at alveolar recruitment and in term neonates, since it favors the reabsorption of pulmonary fluid, a frequent cause of respiratory distress in these newborns. -
MARINA CARVALHO DE MORAES BARROS
The use of the supraglottic device can be useful in ventilation in the delivery room in newborns with difficult airways, reducing the need for tracheal intubation, but it is necessary to train professionals in its use in Brazil. -
claire theyskens
So resp distress, better starts NCPAP in term and preterm -
claire theyskens
Tactile stimulation is no longer necessary -
Marcos Silva
The use of early cpap in the delivery room has reduced the permanence of newborns in the ICU, there is still resistance on the part of professionals to use cpap in children under 1000 grams, but if this group is born vigorous and placed in cpap, maintain stable saturation levels (88-94) and heart rate above 100bpm, it is important to keep them on cpap even with moderate respiratory distress. However, further studies are needed to prove the benefit of early cpap in this group. -
helenilce cosra
Em RN termo e pré-termo tardio, somos favoráveis ao estímulo tátil. Em RN pre-termo com IG<32 sem. não. -
Janine Figueiredo
Considering that not all deliveries are assisted by pediatricians in our country and supraglotic devices are barely available, I’m concerned this recommendation may delay or compromise the effective resuscitation maneuvers by caregivers.