Tag Archives: Resuscitation

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

Posted in Neonatal Research | Tagged | 1 Comment

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 , , , | Leave a comment

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 , , , | 7 Comments

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

Posted in Neonatal Research | Tagged , , | 4 Comments

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

Posted in Neonatal Research | Tagged , | 1 Comment

Lower oxygen resuscitation for preterms?

A new publication from a group of us in the CNN, suggests that the answer to that query is ‘not so fast’. Rabi Y, Lodha A, Soraisham A, Singhal N, Barrington K, Shah PS, et al. Outcomes of preterm infants following … Continue reading

Posted in Neonatal Research | Tagged , , , | 4 Comments

How long is too long?

When a baby is unexpectedly born without a heart beat, and resuscitation is initiated, the outcome may be a failed resuscitation. Even if everything is done correctly. If you are doing everything correctly, and the baby doesn’t respond right away, … Continue reading

Posted in Neonatal Research | Tagged , , , | 3 Comments

The new AAP position statement concerning extremely preterm birth decision making. A great leap… sideways.

To me, this new ‘clinical report’ was a major disappointment. Even though there are some good parts to this statement, there is one huge, major failing: there is absolutely no evidence that parents were consulted or included in the process of … Continue reading

Posted in Clinical Practice Guidelines | Tagged , , , | 2 Comments

Death In Simulation

Our group at Sainte Justine has just published an article, now available on-line in Pediatrics. (Lizotte M-H, Latraverse V, Moussa A, Lachance C, Barrington K, Janvier A. Trainee Perspectives on Manikin Death During Mock Codes. Pediatrics. 2015) We had originally … Continue reading

Posted in Neonatal Research | Tagged , , | 2 Comments

Keep people like this away from the NICU

After my novel-length post earlier, a quick rant. In the few weeks since the NICHD ‘before 24’ paper came out there have been a number of newspaper articles reporting the results, and responses to them. A report in the National … Continue reading

Posted in The CPS antenatal counselling statement | Tagged , , | 4 Comments