Recent discussions
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Gabriel Variane
That's a very interesting discussion. Previous studies have looked at the benefits of using CPAP in the delivery room for preterm infants, but there is still a lack of evidence of the real benefits of CPAP in the delivery room for spontaneously breathing late preterm and term newborn infants with respiratory distress. We routinely use early CPAP in our center for both term and preterm infants with respiratory distress. -
Ana Paula Claro
I agree using tactile stimulation at same time with positive pressure ventilation. Another person can do it, when the doctor is doing PPV. I agree using tactile stimulation with babies above 34 weeks. -
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.