Cardiac arrest with pulseless electrical activity rhythm in newborn infants: a case series

Archives of Disease in Childhood. Fetal and Neonatal Edition
Deandra H LuongGeorg M Schmolzer

Abstract

The 2015 neonatal resuscitation guidelines added ECG to assess an infant's heart rate when determining the need for resuscitation at birth. However, a recent case report raised concerns about this technique in the delivery room. We report four cases of pulseless electrical activity during neonatal cardiopulmonary resuscitation in levels II-III neonatal intensive care units in Canada (Edmonton [n=3] and Winnipeg [n=1]).Healthcare providers should be aware that pulseless electrical activity can occur in newborn infants during cardiopulmonary resuscitation. We propose an adapted neonatal resuscitation algorithm to include pulseless electrical activity. Furthermore, in compromised newborns, heart rate should be assessed using a combination of methods/techniques to ensure accurate heart rate assessment. When ECG displays a heart rate but the infant is unresponsive, pulseless electrical activity should be suspected and chest compression should be started.

References

Sep 23, 2006·Resuscitation·C Omar F KamlinColin J Morley
May 5, 2010·Pediatrics·Jennifer A DawsonColin J Morley
May 7, 2015·The American Journal of Emergency Medicine·Margaret HauckDavid A Pearson
Jul 15, 2015·Archives of Disease in Childhood. Fetal and Neonatal Edition·Ajay C KevatC Omar F Kamlin
Dec 20, 2015·Neonatology·Emily PhilliposGeorg M Schmölzer
Jun 12, 2016·Archives of Disease in Childhood. Fetal and Neonatal Edition·Amanda DysonMartin Kluckow
Mar 25, 2017·Archives of Disease in Childhood. Fetal and Neonatal Edition·Madeleine C MurphyColm Pf O'Donnell
Oct 5, 2017·The American Journal of Emergency Medicine·Dirk Pabst, Christoph E Brehm
Oct 28, 2017·Archives of Disease in Childhood. Fetal and Neonatal Edition·Kate Alison HodgsonMarta Thio
Nov 4, 2017·PloS One·Anup KatheriaNeil Finer
Jun 14, 2018·Archives of Disease in Childhood. Fetal and Neonatal Edition·Sparsh PatelGeorg M Schmölzer
Jul 15, 2018·Seminars in Fetal & Neonatal Medicine·J A DawsonJ Wyllie
Oct 24, 2018·Neonatology·Laura SillersElizabeth E Foglia

❮ Previous
Next ❯

Citations

Apr 5, 2019·PloS One·Anne Lee SolevågGeorg M Schmölzer
Aug 29, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Javier Rodriguez-FanjulAlberto Perez
Aug 23, 2020·European Journal of Pediatrics·S Bobillo-PerezJ Rodriguez-Fanjul
Feb 28, 2020·Healthcare·Peter A Johnson, Georg M Schmölzer
May 19, 2020·BMJ Paediatrics Open·Caroline HenryDon Sharkey
Apr 14, 2020·Acta Paediatrica·Caroline HenryDon Sharkey
Sep 9, 2019·Seminars in Perinatology·Georg M SchmölzerOmar C O F Kamlin
May 23, 2021·Indian Journal of Pediatrics·Amuchou S Soraisham, Ankur Srivastava
Jun 8, 2021·Notfall & Rettungsmedizin·John MadarJonathan P Wyllie

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.