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Tag Archives: Resuscitation
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
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
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
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 mortality, oxygen toxicity, Randomized Controlled Trials, Resuscitation
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 asphyxia, long term outcomes, mortality, Resuscitation
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 Ethics, long term outcomes, mortality, Resuscitation
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
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 Ethics, mortality, Resuscitation
4 Comments
Delayed Cord Clamping re-re-visited
I have been trying to develop some sort of protocol for babies in our center, so I have been reading in some detail the studies about very preterm births and cord clamping that are in the literature. It seems from … Continue reading
Posted in Neonatal Research
Tagged Randomized Controlled Trials, Resuscitation, Systematic Reviews, transfusion
3 Comments
Should we resuscitate children?
I am going to be deliberately provocative today… for a change. A very interesting study from Japan has reported the results of out-of-hospital cardiac arrest in children. Goto Y, et al. Decision tree model for predicting long-term outcomes in children with … Continue reading
Posted in Neonatal Research
Tagged Ethics, long term outcomes, mortality, Resuscitation
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