Monitoring Neonatal Resuscitation: Why Is It Needed?

Neonatology
Colin J Morley

Abstract

Stabilisation and resuscitation of babies at birth is one of the most frequently performed procedures and requires considerable skill. If it is not done well, the baby may suffer prolonged hypoxia and bradycardia. Over the last few years there has been a growing interest in carefully evaluating an infant's condition at birth and the details of what is happening during resuscitation. Clinical assessment of an infant at this time is difficult and often inaccurate. Assessments of heart rate, colour, chest excursions, mask leak, tidal volume, inflation and expiration times, endotracheal intubation, and spontaneous breathing are imprecise. Detailed monitoring of gas flow in and out of the baby, integrated to tidal volume and used to calculate the leak around the face mask or endotracheal tube, together with ventilation pressures, pulse oximetry, ECG, and capnography add objectivity to the clinical assessments. These physiological parameters can be used directly to guide care but are also very useful for debriefing, feedback, audit, teaching, and research. With simultaneous video recording of the resuscitation it is possible to see exactly what is happening during the procedure. Endotracheal intubation is a difficult skill to learn a...Continue Reading

Citations

Dec 14, 2019·Journal of Perinatal Medicine·Stephanie MarshallOla D Saugstad
Jun 8, 2021·Notfall & Rettungsmedizin·John MadarJonathan P Wyllie

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bradyarrhythmias

Bradyarrhythmias are slow heart rates. Symptoms may include syncope, dizziness, fatigure, shortness of breath, and chest pains. Find the latest research on bradyarrhythmias here.

Related Papers

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
Jason G Emsley, Orlando R Hung
Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
Jason G Emsley, Orlando R Hung
Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
Fu S XueGao P Liu
© 2022 Meta ULC. All rights reserved