Recent discussions
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Renee McKeany
The last seven points in 'Justification and decision to framework highlights' seem more appropriate as knowledge gaps. -
Виктория Антонова
I think the intravenous route through the umbilical catheterization should be indicated since most professionals who perform the resuscitation maneuvers are able to perform such procedure beyond the certainty of drug administration. -
Виктория Антонова
Não costumo fazer procedimento intra-ósseo em RN ,tendo condição de faze-lo por cateterismo venoso. Por isso acho difícil avaliar. -
Виктория Антонова
I do not usually do intraosseous procedure when we can perform it by venous catheterization, I have no experience about it. -
Виктория Антонова
I think the recommendation to prefer umbilical access if it is available is correct. However, it is necessary to write - not to delay obtaining venous access if the umbilical vein is unsuccessful, and proceed to IO without delay. Encourage IO access in any neonatal emergency. My question is about the cost for availability and maintenance of intraosseous needles, currently in Brazil have very high cost. There is a risk of extrapolating the recommendation for inappropriate instruments which would increase the risk of adverse events. -
Виктория Антонова
A administração intra óssea na reanimação em sala de parto não é conduta recomendada de rotina. Continuamos fazendo medicações pelo cateterismo venoso umbilical que é um procedimento com menos complicações ao RN. Gostaria de saber se algum estudo que avaliou os riscos de fraturas ósseas nos RN's. -
Виктория Антонова
Thank you for taking the time to comment on this CoSTR. The Task Force did consider this problem and included it in the "Justification and Evidence to Decision Framework Highlights” section (bullet 6): "First Aid guideline groups will need to consider that prescribing practices in Europe and Asia might require self-administration for first aid, rather than direct administration of aspirin by a first aid provider due to national, regional, state or provincial regulations." The Task Force will consider clarifying its treatment recommendation. -
Виктория Антонова
Making the on-line material available to be used in a group setting would be beneficial. In a "Code" the individuals will function as a team. This will also allow experienced providers to work beside the less experienced (new graduates, different specialties MD vs RN vs RT) -
Виктория Антонова
I have read the systematic review with interest, the section regarding the use of suction based devices. The use of suction based devices is already in use and acknowledged to be used by ALS and ILS trained people and used daily on ambulances and by first responders. Why is this data not included for "the use of suction based devices" in this systematic review. There seems to be a lot more data available that is not included in this review if suction devices are used on a daily bases by EMS. -
Виктория Антонова
Dear, I looked into the reference list and missed the publication by Magliocca J Am Heart Assoc. 2019;8:e011189. DOI: 10.1161/JAHA.118.011189. This randomized study compared the hemodynamic support provided by a mechanical piston device or manual CC during ambulance transport in a porcine model of cardiopulmonary resuscitation. This type of study is difficult to perform in humans therefore this study is important even if it is in porcine model.