Recent discussions
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Janine Figueiredo
I am for the use of nCPAP in the delivery room, because I believe it not only helps the stabilization of the premature baby who is going to be admitted in the NICU (postponing or avoiding intubation to mechanical ventilation) but also helps the term and late preterm baby to go through cardiovascular adaptation, avoiding unnecessary NICU admissions. -
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. -
helenilce cosra
Em RN termo e pré-termo tardio, somos favoráveis ao estímulo tátil. Em RN pre-termo com IG<32 sem. não. -
Carolyn Zelop
Well done Would change title to clarify newborn monitoring not to be confused with fetal -
Gislayne Nieto
I think we have already performed the tactile stimulus during the drying the baby .I am worried about changing the technique again and delay in starting the VPP -
Gislayne Nieto
In our service we use CPAP in the delivery room in newborns > 34 weeks with mild to moderate distress for up to 1 hour. If they do not improve, they are admitted to the ICU .We are trying to analyze our data regarding the success and failure of this technique in our service -
Gislayne Nieto
We have no experience in our service. we use the laryngeal mask in new borns over 34 weeks with intubation difficulty only -
Murray Hinder
Design of device used to provide CPAP may be an important consideration when providing treatment to term infants. Bench testing of TPR devices show that high expiratory resistance of the CPAP/PEEP valve can contribute to incomplete expiration (autoPEEP) during PPV(1-3) and increased work of breathing during CPAP (4, 5) with near term and term lung compliances. RCT’s cited in Consensus of Science statement use devices with high expiratory resistance to provide CPAP, (Smithhart 2019 e20190756 Neopuff TPR) and (Hishikawa 2015 F382; Hishikawa 2016 Mercury Medical Hyper Inflation system with flow restrictor) (personal communication Dr Hishikawa 2016). More research on device suitability for provision of CPAP for term infants is needed. 1. Drevhammar T, Falk M, Donaldsson S, Tracy M, Hinder M. Neonatal Resuscitation With T-Piece Systems: Risk of Inadvertent PEEP Related to Mechanical Properties. Front Pediatr. 2021;9:663249. 2. Hinder M, McEwan A, Drevhammer T, Donaldson S, Tracy MB. T-piece resuscitators: how do they compare? Arch Dis Child Fetal Neonatal Ed. 2019;104(2):F122-F7. 3. Hinder M, Jani P, Priyadarshi A, McEwan A, Tracy M. Neopuff T-piece resuscitator: does device design affect delivered ventilation? Arch Dis Child Fetal Neonatal Ed. 2017;102(3):F220-F4. 4. Drevhammar T, Nilsson K, Zetterstrom H, Jonsson B. Comparison of seven infant continuous positive airway pressure systems using simulated neonatal breathing. PediatrCrit Care Med. 2012;13(2):e113-e9. 5. Donaldsson S, Drevhammar T, Taittonen L, Klemming S, Jonsson B. Initial stabilisation of preterm infants: a new resuscitation system with low imposed work of breathing for use with face mask or nasal prongs. Arch Dis Child Fetal Neonatal Ed. 2017;102(3):F203-F7. -
Ilana Egypto
So, including tactile estimulation inside the 60’seconds, in my opinion, would delay reanimation. -
Ilana Egypto
In our reality, the laryngeal mask still does not have an appropriate space!