Recent discussions
-
Виктория Антонова
In My opinion this recomendation reflects the reality in most of the NICU's in Germany. The intraosseus line for drug Administration is meanwhile well known for pediatric patients even as for adult patients in cardiac arrest and it is an oportunity even for newborns. But the smaller the patient is the more difficult is the correct placement of the needle and the greater is the risk for having severe undesireable adverse effects. So the personel has to be trained verry good in the handling of this tool when it is used in the resuscitation of newborns. On the other hand the umbilical vein is relatively easy to determine an it is a verry fast procedure to put an vascular canula inside it just for a view centimeters to use it as a emergency access. Even this procedure has to be trained carefully, but it's easy to learn. So i think you are right to give this recomendation even so there is poor evidence for it. On the other hand -
Виктория Антонова
We used the term "suction-based airway clearance device" to describe a number of commercially available devices that are specifically designed and intended to be used for the removal of foreign body airway obstructions. This term was not intended to include the use of suction with a suction catheter (whether mechanical or manual) as currently used by EMS, first responders, and in the hospital setting. Thank you for the comment. We will reflect on whether this term requires further clarification in the final document. -
ILCOR Staff
The error has been corrected. Thanks for pointing this out -
Виктория Антонова
It is very strange to change a previous COSTR recommendation without any new evidence nor consulting the paediatric taskforce in this? This makes one thoroughly question the validity of the Grade process. When looking at the EtD table a clear difference between adult and child is made but for some reason this is not very well reflected in the TR and justification. In my opninion the clinical evidence provided (all older than 2015) is not sufficient to warrent such a recommendation, knowing -
Виктория Антонова
O acesso venoso através do cateterismo umbilical é mais rápido e seguro para administração de drogas e volume. Essa sempre foi a minha escolha nos serviços onde trabalho. Nunca realizei intra-ósseo em RN. Realizei intra-óssea em lactente de 2 meses - muito mais difícil e tempo gasto é maior. Vejo intra-ósseo como opção para aqueles que via umbilical não foi possível. -
Виктория Антонова
I agree that it is importante to have a second option in case of administration of drugs when ressuscitation is mandatory. Doctors and nurses are well trained for vascular access but not for bone injections Intraosseous access may be used as alternative but the professionals involved should be trained specifically for this procedure -
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
Acho a melhor via a umbilical , e até inclusive a facilidade de realização E segurança -
Виктория Антонова
Your are totaly right That was an error in Posting the original version to the web page These points are the "Knowledge Gaps" which are the Paragraph belo. Thanks for detecting that. I hope we can sort that out soon regards Robert Greif Chair EIT TF -
Виктория Антонова
Na minha opinião, o acesso venoso através do cateterismo umbilical é mais rápido e seguro para administração de drogas e volume. Esse sempre foi a minha escolha nos serviços onde trabalho. Não tenho experiência com intra-óssea em recém-nascidos.