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Tag Archives: Resuscitation
Sustained inflation during neonatal resuscitation? Not so fast…
A sustained inflation at birth of an asphyxiated lamb which lasts 30 seconds leads to much more rapid restoration of heart rate and blood pressure than either conventional ventilation or a series of shorter sustained inflations of 5 seconds each. … Continue reading
New Publication
Just arrived on-line: a systematic review and meta-analysis (I can imagine Annie’s eyes glazing over right now as she reads those words) of neonatal resuscitation programs. Pammi M, et al. Newborn Resuscitation Training Programmes Reduce Early Neonatal Mortality. Neonatology. 2016;110(3):210-24. Available free … Continue reading
A step forward in neonatal resuscitation. And Oh So Simple.
When you are resuscitating a baby, and you ask, how is the heart rate? What kind of answer do you get? “It’s good” “pulse is a bit slow” “I think its around 80”? As Lou Halamek and his team recount … Continue reading
Also, still no parents!
My previous post was long enough without addressing another serious deficiency in these guidelines. It is worth its own post. The guidelines are written by doctors. And only doctors (actually only Obstetricians). There is no input mentioned from any other … Continue reading
Posted in Clinical Practice Guidelines
Tagged Clinical Practice Guidelines, Ethics, Obstetrics, Resuscitation
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Another extremely flawed guideline on periviable deliveries
Oh Dear, here we go again… This is a joint statement from ACOG and the SMFM. There is some good in here, but you’d think they could at least get the facts right. “Delivery before 23 weeks of gestation typically … Continue reading
Posted in Clinical Practice Guidelines
Tagged Ethics, long term outcomes, mortality, Resuscitation
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What if 5 were the magic number?
Our weeks are made of 7 days. An entirely arbitrary unit of measurement, based on an idea that 7 is magical, so there are 7 continents, 7 seas, 7 days of the week. Or maybe because you can easily divide … Continue reading
NRP Works!
When the neonatal resuscitation program was first introduced I think many of us had mixed feelings. I was concerned that some of the initial recommendations were opinion-based rather than evidence-based (and they weren’t all consistent with my opinions, which are … Continue reading
