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JOURNAL ARTICLE
Sonja Baldursdottir, Kolbrun Gunnarsdottir, Snorri Donaldsson, Baldvin Jonsson, Thomas Drevhammar
BACKGROUND: The rPAP respiratory support system, used for delivery room stabilisation with nasal prongs, has been shown to reduce the need for intubation in extremely preterm infants. A simplified version of the system has been developed. The purpose of this study was to determine the feasibility of providing uninterrupted respiratory support with the simplified rPAP from birth up to 4 hours of life and to assess ease of use for skin-to skin stabilisation. METHODS: This was a non-randomised feasibility study conducted at Karolinska University Hospital, Sweden...
March 21, 2024: Archives of Disease in Childhood. Fetal and Neonatal Edition
#2
JOURNAL ARTICLE
Gonzalo Mariani, Marcela Arimany
Coping with the death of a newborn infant requires training and reflection regarding the end-of-life decision-making process, communication with the family, and the care to be provided. The objective of this article is to analyze in depth the salient aspects of neonatal bioethics applied to end-of-life situations in newborn infants. Part I describes notions of therapeutic futility, redirection of care criteria, patient and family rights, and concepts about the value of life. Part II analyzes situations that deserve considering the redirection of care and delves into aspects of communication and the complex process of end-of-life decision-making in newborn infants...
February 1, 2023: Archivos Argentinos de Pediatría
#3
JOURNAL ARTICLE
Gonzalo Mariani, Marcela Arimany
Coping with the death of a newborn infant requires training and reflection regarding the end-of-life decision-making process, communication with the family, and the care to be provided. The objective of this article is to analyze in depth the salient aspects of neonatal bioethics applied to end-of-life situations in newborn infants. Part I describes notions of therapeutic futility, redirection of care criteria, patient and family rights, and concepts about the value of life. Part II analyzes situations that deserve considering the redirection of care and delves into aspects of communication and the complex process of end-of-life decision-making in newborn infants...
April 1, 2023: Archivos Argentinos de Pediatría
#4
JOURNAL ARTICLE
Myra H Wyckoff, Eunice M Singletary, Jasmeet Soar, Theresa M Olasveengen, Robert Greif, Helen G Liley, David Zideman, Farhan Bhanji, Lars W Andersen, Suzanne R Avis, Khalid Aziz, Jason C Bendall, David C Berry, Vere Borra, Bernd W Böttiger, Richard Bradley, Janet E Bray, Jan Breckwoldt, Jestin N Carlson, Pascal Cassan, Maaret Castrén, Wei-Tien Chang, Nathan P Charlton, Adam Cheng, Sung Phil Chung, Julie Considine, Daniela T Costa-Nobre, Keith Couper, Katie N Dainty, Peter G Davis, Maria Fernanda de Almeida, Allan R de Caen, Edison F de Paiva, Charles D Deakin, Therese Djärv, Matthew J Douma, Ian R Drennan, Jonathan P Duff, Kathryn J Eastwood, Jonathan L Epstein, Raffo Escalante, Jorge G Fabres, Joe Fawke, Judith C Finn, Elizabeth E Foglia, Fredrik Folke, Karoline Freeman, Elaine Gilfoyle, Craig A Goolsby, Amy Grove, Ruth Guinsburg, Tetsuo Hatanaka, Mary Fran Hazinski, George S Heriot, Karen G Hirsch, Mathias J Holmberg, Shigeharu Hosono, Ming-Ju Hsieh, Kevin K C Hung, Cindy H Hsu, Takanari Ikeyama, Tetsuya Isayama, Vishal S Kapadia, Mandira Kawakami, Han-Suk Kim, David A Kloeck, Peter J Kudenchuk, Anthony T Lagina, Kasper G Lauridsen, Eric J Lavonas, Andrew S Lockey, Carolina Malta Hansen, David Markenson, Tasuku Matsuyama, Christopher J D McKinlay, Amin Mehrabian, Raina M Merchant, Daniel Meyran, Peter T Morley, Laurie J Morrison, Kevin J Nation, Michael Nemeth, Robert W Neumar, Tonia Nicholson, Susan Niermeyer, Nikolaos Nikolaou, Chika Nishiyama, Brian J O'Neil, Aaron M Orkin, Osokogu Osemeke, Michael J Parr, Catherine Patocka, Jeffrey L Pellegrino, Gavin D Perkins, Jeffrey M Perlman, Yacov Rabi, Joshua C Reynolds, Giuseppe Ristagno, Charles C Roehr, Tetsuya Sakamoto, Claudio Sandroni, Taylor Sawyer, Georg M Schmölzer, Sebastian Schnaubelt, Federico Semeraro, Markus B Skrifvars, Christopher M Smith, Michael A Smyth, Roger F Soll, Takahiro Sugiura, Sian Taylor-Phillips, Daniele Trevisanuto, Christian Vaillancourt, Tzong-Luen Wang, Gary M Weiner, Michelle Welsford, Jane Wigginton, Jonathan P Wyllie, Joyce Yeung, Jerry P Nolan, Katherine M Berg
The International Liaison Committee on Resuscitation initiated a continuous review of new, peer-reviewed published cardiopulmonary resuscitation science. This is the fifth annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations; a more comprehensive review was done in 2020. This latest summary addresses the most recently published resuscitation evidence reviewed by International Liaison Committee on Resuscitation task force science experts...
November 11, 2021: Resuscitation
#5
REVIEW
Payam Vali, Gary M Weiner, Deepika Sankaran, Satyan Lakshminrusimha
The neonatal resuscitation program recommends a wide dose range of epinephrine for newborns who receive chest compressions (endotracheal tube [ET] dose of 0.05-0.1 mg/kg or intravenous [IV] dose of 0.01-0.03 mg/kg), which presents a challenge to neonatal care providers when attempting to determine the optimal initial dose. Dosing errors are common when preparing epinephrine for neonatal resuscitation. Based on animal data, we suggest preparing 0.1 mg/kg or 1 ml/kg of 1 mg/10 ml epinephrine in a 5 ml syringe for ET administration...
July 2021: Journal of Perinatology: Official Journal of the California Perinatal Association
#6
JOURNAL ARTICLE
Vishal S Kapadia, Berndt Urlesberger, Amuchou Soraisham, Helen G Liley, Georg M Schmölzer, Yacov Rabi, Jonathan Wyllie, Myra H Wyckoff
CONTEXT: The International Liaison Committee on Resuscitation prioritized review of sustained inflation (SI) of the lung at birth. OBJECTIVE: To complete a systematic review and meta-analysis comparing strategies using 1 or more SI ≥1 second with intermittent inflations <1 second for newborns at birth. DATA SOURCES: Medline, Embase, and Evidence-Based Medicine Reviews were searched from January 1, 1946, to July 20, 2020. STUDY SELECTION: Studies were selected by pairs of independent reviewers in 2 stages...
January 2021: Pediatrics
#7
JOURNAL ARTICLE
Tetsuya Isayama, Lindsay Mildenhall, Georg M Schmölzer, Han-Suk Kim, Yacov Rabi, Carolyn Ziegler, Helen G Liley
CONTEXT: Current International Liaison Committee on Resuscitation recommendations on epinephrine administration during neonatal resuscitation were derived in 2010 from indirect evidence in animal or pediatric studies. OBJECTIVE: Systematic review of human infant and relevant animal studies comparing other doses, routes, and intervals of epinephrine administration in neonatal resuscitation with (currently recommended) administration of 0.01 to 0.03 mg/kg doses given intravenously (IV) every 3 to 5 minutes...
October 2020: Pediatrics
#8
JOURNAL ARTICLE
Murray Kenneth Hinder, Thomas Drevhammar, Snorri Donaldsson, Matthew Boustred, Matthew Crott, Mark Brian Tracy
BACKGROUND: T-piece resuscitators (TPRs) are used for primary newborn resuscitation in birthing and emergency rooms worldwide. A recent study has shown spikes in peak inflation pressure (PIP) over set values with two brands of TPRs inbuilt into infant warmer/resuscitation platforms. We aimed to compare delivered ventilation between two TPR drivers with inflation pressure spikes to a standard handheld TPR in a low test lung compliance (Crs), leak-free bench test model. METHODS: A single operator provided positive pressure ventilation to a low compliance test lung model (Crs 0...
January 2021: Archives of Disease in Childhood. Fetal and Neonatal Edition
#9
JOURNAL ARTICLE
Jasmeet Soar, Ian Maconochie, Myra H Wyckoff, Theresa M Olasveengen, Eunice M Singletary, Robert Greif, Richard Aickin, Farhan Bhanji, Michael W Donnino, Mary E Mancini, Jonathan P Wyllie, David Zideman, Lars W Andersen, Dianne L Atkins, Khalid Aziz, Jason Bendall, Katherine M Berg, David C Berry, Blair L Bigham, Robert Bingham, Thomaz Bittencourt Couto, Bernd W Böttiger, Vere Borra, Janet E Bray, Jan Breckwoldt, Steven C Brooks, Jason Buick, Clifton W Callaway, Jestin N Carlson, Pascal Cassan, Maaret Castrén, Wei-Tien Chang, Nathan P Charlton, Adam Cheng, Sung Phil Chung, Julie Considine, Keith Couper, Katie N Dainty, Jennifer Anne Dawson, Maria Fernanda de Almeida, Allan R de Caen, Charles D Deakin, Ian R Drennan, Jonathan P Duff, Jonathan L Epstein, Raffo Escalante, Raúl J Gazmuri, Elaine Gilfoyle, Asger Granfeldt, Anne-Marie Guerguerian, Ruth Guinsburg, Tetsuo Hatanaka, Mathias J Holmberg, Natalie Hood, Shigeharu Hosono, Ming-Ju Hsieh, Tetsuya Isayama, Taku Iwami, Jan L Jensen, Vishal Kapadia, Han-Suk Kim, Monica E Kleinman, Peter J Kudenchuk, Eddy Lang, Eric Lavonas, Helen Liley, Swee Han Lim, Andrew Lockey, Bo Lofgren, Matthew Huei-Ming Ma, David Markenson, Peter A Meaney, Daniel Meyran, Lindsay Mildenhall, Koenraad G Monsieurs, William Montgomery, Peter T Morley, Laurie J Morrison, Vinay M Nadkarni, Kevin Nation, Robert W Neumar, Kee-Chong Ng, Tonia Nicholson, Nikolaos Nikolaou, Chika Nishiyama, Gabrielle Nuthall, Shinichiro Ohshimo, Deems Okamoto, Brian O'Neil, Gene Yong-Kwang Ong, Edison F Paiva, Michael Parr, Jeffrey L Pellegrino, Gavin D Perkins, Jeffrey Perlman, Yacov Rabi, Amelia Reis, Joshua C Reynolds, Giuseppe Ristagno, Charles C Roehr, Tetsuya Sakamoto, Claudio Sandroni, Stephen M Schexnayder, Barnaby R Scholefield, Naoki Shimizu, Markus B Skrifvars, Michael A Smyth, David Stanton, Janel Swain, Edgardo Szyld, Janice Tijssen, Andrew Travers, Daniele Trevisanuto, Christian Vaillancourt, Patrick Van de Voorde, Sithembiso Velaphi, Tzong-Luen Wang, Gary Weiner, Michelle Welsford, Jeff A Woodin, Joyce Yeung, Jerry P Nolan, Mary Fran Hazinski
The International Liaison Committee on Resuscitation has initiated a continuous review of new, peer-reviewed, published cardiopulmonary resuscitation science. This is the third annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. It addresses the most recent published resuscitation evidence reviewed by International Liaison Committee on Resuscitation Task Force science experts...
December 2019: Resuscitation
#10
JOURNAL ARTICLE
Maria Pia De Carolis, Giovanna Casella, Erika Serafino, Giovanni Pinna, Carmen Cocca, Sara De Carolis
OBJECTIVE: To retrospectively verify whether the positioning of the umbilical venous catheter (UVC) in the delivery room (DR) and the early start of the preheated infusion of 10% glucose solution conditioned temperature and glycemia values of ELBW neonates in the first hours of life. METHODS: Neonates ( N = 137) were divided into two groups on the basis of timing of positioning of the UVC. In Group I the UVC was placed in DR, while in Group II after Neonatal Intensive Care Unit (NICU) admission...
June 2021: Journal of Maternal-fetal & Neonatal Medicine
#11
MULTICENTER STUDY
Gopal Agrawal, Anil Kumar, Sanjay Wazir, N Chandra Kumar, Piyush Shah, Amit Nigade, Nandini Nagar, Surender Kumar, Kishore Kumar
BACKGROUND: The assessment of newborns' heart rate (HR) in the delivery room is one of the important steps to ascertain the need for initiation and continuation of resuscitation. At present, ECG is the "gold standard" to monitor neonatal HR in the delivery room. However, various limitations with the use of ECG exist. Furthermore, in developing countries, ECG may not be universally available in delivery rooms. OBJECTIVE: To compare the accuracy and HR acquisition time of portable Doppler ultrasound (PDU) versus electrocardiogram (ECG) in newborns...
July 2021: Journal of Maternal-fetal & Neonatal Medicine
#12
RANDOMIZED CONTROLLED TRIAL
T Sawyer, P Motz, N Schooley, R Umoren
BACKGROUND: Positive pressure ventilation (PPV) is the most important procedure during neonatal resuscitation. Providing effective PPV seems easy. However, performing the procedure correctly is extremely challenging. Airway obstruction and face mask large leaks are common. It is estimated that two-thirds of continued neonatal respiratory depression after the time of birth is caused by ineffective or improperly provided PPV. Finding methods to improve PPV performance are critically needed...
2019: Journal of Neonatal-perinatal Medicine
#13
REVIEW
Tessa Martherus, André Oberthuer, Janneke Dekker, Stuart B Hooper, Erin V McGillick, Angela Kribs, Arjan B Te Pas
Most very preterm infants have difficulty aerating their lungs and require respiratory support at birth. Currently in clinical practice, non-invasive ventilation in the form of continuous positive airway pressure (CPAP) and positive pressure ventilation (PPV) is applied via facemask. As most very preterm infants breathe weakly and unnoticed at birth, PPV is often administered. PPV is, however, frequently ineffective due to pressure settings, mask leak and airway obstruction. Meanwhile, high positive inspiratory pressures and spontaneous breathing coinciding with inflations can generate high tidal volumes...
January 2019: Archives of Disease in Childhood. Fetal and Neonatal Edition
#14
JOURNAL ARTICLE
Mehmet Buyuktiryaki, Hayriye G Kanmaz, Nilufer Okur, Handan Bezirganoglu, Buse Ozer Bekmez, Gulsum Kadioglu Simsek, Fuat E Canpolat, Suna S Oguz, Cuneyt Tayman
BACKGROUND AND OBJECTIVES: It is believed, that sustained lung inflation (SLI) at birth in preterm infants reduces the need for mechanical ventilation (MV) and improves respiratory outcomes. The aim of this study was to compare need for MV in preterm infants at high risk for respiratory distress syndrome (RDS) after prophylactic SLI via short binasal prongs at birth combined with early nasal continuous positive airway pressure (nCPAP) versus nCPAP alone. METHODS: Medical records of infants born at 260/7 to 296/7 weeks gestation through 2015 and 2017 were retrospectively assessed...
October 2018: Pediatric Pulmonology
#15
REVIEW
Elizabeth E Foglia, Arjan B Te Pas
Lung aeration is the critical first step that triggers the transition from fetal to postnatal cardiopulmonary physiology after birth. When an infant is apneic or does not breathe sufficiently, intervention is needed to support this transition. Effective ventilation is therefore the cornerstone of neonatal resuscitation. In this article, we review the physiology of cardiopulmonary transition at birth, with particular attention to factors the caregiver should consider when providing ventilation. We then summarize the available clinical evidence for strategies to monitor and perform positive pressure ventilation in the delivery room setting...
October 2018: Seminars in Fetal & Neonatal Medicine
#16
JOURNAL ARTICLE
Manoj Biniwale, Fiona Wertheimer
BACKGROUND: The literature supports minimizing duration of invasive ventilation to decrease lung injury in premature infants. Neonatal Resuscitation Program recommended use of non-invasive ventilation (NIV) in delivery room for infants requiring prolonged respiratory support. OBJECTIVE: To evaluate the impact of implementation of non-invasive ventilation (NIV) using nasal intermittent positive pressure ventilation (NIPPV) for resuscitation in very low birth infants...
July 2017: Resuscitation
#17
REVIEW
E E Foglia, E A Jensen, H Kirpalani
Bronchopulmonary dysplasia (BPD) is the most common chronic respiratory complication of preterm birth. Preterm infants are at risk for acute lung injury immediately after birth, which predisposes to BPD. In this article, we review the current evidence for interventions applied during neonatal transition (delivery room and first postnatal hours of life) to prevent BPD in extremely preterm infants: continuous positive airway pressure (CPAP), sustained lung inflation, supplemental oxygen use during neonatal resuscitation, and surfactant therapy including less-invasive surfactant administration...
November 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
#18
JOURNAL ARTICLE
Murray Hinder, Pranav Jani, Archana Priyadarshi, Alistair McEwan, Mark Tracy
BACKGROUND: The T-piece resuscitator (TPR) is in common use worldwide to deliver positive pressure ventilation during resuscitation of infants <10 kg. Ease of use, ability to provide positive end-expiratory pressure (PEEP), availability of devices inbuilt into resuscitaires and cheaper disposable options have increased its popularity as a first-line device for term infant resuscitation. Research into its ventilation performance is limited to preterm infant and animal studies...
May 2017: Archives of Disease in Childhood. Fetal and Neonatal Edition
#19
RANDOMIZED CONTROLLED TRIAL
Mohamed S El-Chimi, Hisham A Awad, Tarek M El-Gammasy, Ola G El-Farghali, Mohamed T Sallam, Dina M Shinkar
AIM: To evaluate efficacy and safety of delivery room (DR) sustained lung inflation (SLI) in resuscitation of preterm neonates. METHODS: Randomized Controlled Trial including 112 preterm infants randomized to either SLI (n = 57) using T-piece resuscitator [maximum three inflations with maximum pressure of 30 cmH2 O for 15 s followed by continuous positive airway pressure (CPAP) of 5-7 cmH2 O] or conventional bag/mask inflation (CBMI) (n = 55) using traditional self-inflating bag (maximum pressure of 40 cmH2 O at a rate of 40-60 per min)...
June 2017: Journal of Maternal-fetal & Neonatal Medicine
#20
JOURNAL ARTICLE
Mark Tracy, Dharmesh Shah, Archana Priyadarshi, Murray Hinder
BACKGROUND: The self-inflating bag (SIB) is the most common device used to resuscitate newborn infants worldwide. Delivering positive end-expiratory pressure (PEEP) may be important in infant resuscitation and limited research using one brand (Laerdal) SIB has led to international guidelines stating SIBs 'often deliver inconsistent positive end-expiratory pressure'. AIM: To measure delivered PEEP using disposable and reusable Ambu SIBs fitted with Ambu PEEP valve and manometer comparing different rates of 20, 40 and 60 inflations per minute (IPM) and test lung compliance...
September 2016: Archives of Disease in Childhood. Fetal and Neonatal Edition
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