Recent discussions
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Виктория Антонова
Dear Ms. Raffay et al, Thank you very much for creating this task force scoping review. With the increase of scientific literature about effect of physical fatigue on CPR quality, this review becomes strongly necessary. Maybe studies with feedback devices were not considered, but there is a recent publication that, a priori, might be included in the PICO question proposed: PLoS One. 2018 Sep 19;13(9):e0203576. Doi: 10.1371/journal.pone.0203576. Fatigue was assessed in terms of muscle activity and CPR quality was also measured. Thank you for your attention. Yours sincerely, Cristian Abelairas-Gómez -
Виктория Антонова
Without doubting the use of the resuscitator T piece, it has been reducing intubation rates in the delivery room, especially for extremely premature infants and reducing unnecessary exposure to invasive ventilation, which by logic should reduce chronic lung injury in addition to other undesirable outcomes. -
Виктория Антонова
Consider the data in this article: Billimoria Z, Chabra S, Patel A, Gray MM, Umoren R, Sawyer T. Apgar score of 0 at 10 min and survival to 1 year of age: a retrospective cohort study in Washington state. J Perinatol. 2019;39(12):1620-1626. A population-based study in Washington state that looked at all newborns requiring resuscitation in the delivery room and 1-year survival by gestational age. -
Виктория Антонова
Being worked in Canada and in resource limited settings abroad, I believe using T-piece for ventilation is much easier vs. Self inflating bag, especially for all those working in resource limited area. It does not need lots of skills, additionally better pressure can be maintained with less leaks. There is less probability of inadvertent pressure delivery and less chances of pneumothorax. -
Виктория Антонова
As a professor at Federal University of Pará during The simulation situation or at delivery room its very important the debrifing with doctors, Residents, nurses abs phisiotherapist -
Виктория Антонова
Se motive at our service improved survival and less need for intubation and BPD with T-piece resuscitator use, especially in preterm infants. -
Виктория Антонова
We do not suction at delivery room online if the babies do not recover espontaneous breathing -
Виктория Антонова
We use T-pierce in all babies who needs especially under 34 weeks -
Виктория Антонова
The airline industry has been using the practice of briefing and debriefing for a long time,to improve safety. The same idea should be present in Medicine, specially in high risk care -
Виктория Антонова
In our unit we use epinefrin 0,01 mg/kg first dose IV e second dose on 0,03mg/kg IV