Recent discussions
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Gabriel Variane
We are currently utilizing the supraglottic device in our center to assess difficult airways only. If mask ventilation is ineffective and the center has the necessary resources and trained staff, the supraglottic device could be used. This could reduce the number of intubated infants in the delivery room. -
Ilana Egypto
I accept accept that stimulation should not delay the initiation of positive pressure ventilation for newborns who continue to have absent, intermittent, or shallow respirations after birth -
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! -
Roque Antonio Foresti
We do not use a laryngeal mask in the delivery room. Except difficult intubations. -
Gabriel Variane
There is a reasonable rationale for using tactile stimulation without delaying ventilation in term infants. I would be concerned about this in preterm infants under 34 weeks of gestational age due to increased risks such as IVH. -
Roque Antonio Foresti
I think that the stimulation in the first seconds, during the placement of the NB in the warm crib, presents a good response and is part of my practice. -
Roque Antonio Foresti
We have not carried out controlled studies on whether or not to apply CPAP in the delivery room, but it is our usual practice. We don't use bells anymore. Only early CPAP, always as early as possible. We understand it as an effective practice. -
Cristian Abelairas-Gómez
A paper with the aim to assess CPR quality (manikin study) by helicopter rescue swimmers while flying comparing with CPR on land was published in 2016 (10.1016/j.amj.2016.04.014). Maybe it could be useful to complement the data provided by Havel et al. and Putzer et al. -
Shinichiro Ohshimo
Congratulations on the completion of the Systematic Review! This is a very important recommendation regarding the association between the pause in chest compressions and the outcome. My question is regarding the target CPR fraction time. The CPR pause time will probably vary each time. In that case, even if the CPR fraction time is maintained above 60% of the total resuscitation time, the individual intervals may be longer than expected. This may have a negative impact on outcomes. Therefore, I think it is also important to keep the CPR pause time almost constant.