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Recent Posts
- Two amazing trials, at the opposite ends of the spectrum. What a weird world.
- What do you think are meaningful long term outcomes for preterm infants? Give your opinion!
- Which is worse; death or a low Bayley score? Comparing composite outcomes between groups, taking into account clinical priorities.
- Renal Function in the very immature preterm, what is a “normal” creatinine
- Longer-term outcomes: what should we measure? part 2
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Meta
Tag Archives: Resuscitation
Oropharyngeal airways for resuscitation of the preterm? Throw them away!
When I saw the title of this new study I thought immediately this has to either be by Peter Davis or one or more of his disciples… former trainees, I mean. In fact it is both: Kamlin COF, et al. … Continue reading
Oxygen for resuscitation of the very preterm
One of the paradoxes of neonatal respiratory control physiology is that hypoxia depresses respiration whilst hyperoxia stimulates breathing efforts. In fact it’s not such a paradox, prolonged hypoxia in adults decreases respiratory drive also. But could this be relevant in … Continue reading
Posted in Neonatal Research
Tagged oxygen therapy, oxygen toxicity, Randomized Controlled Trials, Resuscitation
2 Comments
How should we evaluate heart rate during neonatal resuscitation?
Many babies receive some sort of “resuscitation” during their transition from intra-uterine to extra-uterine life. How do we decide when a baby needs intervention? A baby who is active and breathing is usually left alone, a baby who is neither … Continue reading
PAS 2018 No1: SAIL away (and another mention by a science journalist).
For some reason there is a small epidemic (n=2, that’s a pico-epidemic) of articles about probiotics and necrotising enterocolitis this year in the mainstream press. I was interviewed, and I am mentioned again, in this article on the NOVA “next” … Continue reading
Posted in Neonatal Research
Tagged mortality, Randomized Controlled Trials, Resuscitation
2 Comments
Does tactile stimulation in the delivery room actually do anything?
One of the things that is done in neonatal resuscitation that isn’t part of resuscitating older patients is tactile stimulation. Babies who are apneic and/or floppy often receive stimulation in the form of rubbing the back, patting or flicking the … Continue reading
The last word on delayed cord clamping in the preterm? Part 2.
I mentioned the second trial I wanted to discuss at the beginning of part 1. Duley L, et al. Randomised trial of cord clamping and initial stabilisation at very preterm birth. Archives of disease in childhood Fetal and neonatal edition. … Continue reading
Posted in Neonatal Research
Tagged Randomized Controlled Trials, Resuscitation, transfusion
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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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