Resuscitation

I guess many of you have seen that the Australian placental transfusion study is now published in NEJM. In this RCT - 1500 infants born <32 weeks were randomized to early vs late clamping (≤10 vs ≥60 sec). The results were... no clear benefits, the odds ratio was 1.00 (0.88.-1.13) for the combined primary outcome of death or major morbidity. We have not yet discussed in our NICU how to relate to those findings - we currently practise delayed clamping (at 60 sec). Thoughts?

Came across this paper in @Acta Paediatrica about the Helping Babies Breathe (HBB) program in Kenya. 10 months post-training, there was a >50% reduction in the rate of hypoxic ischemic encephalopathy, from 1.6% to 0.7% of live-births. The mortality rates decreased in numbers from 0.4% to 0.2%, but this was not statistically significant. However, the study was not powered to find this difference. The paper is available in full-text here. And, related editorials are available here and here. Does anyone here have hands-on-experience from working with the HBB-program? Would be interesting to hear about it!

Dear all, I want to share one of my latest papers, in Journal of Perinatology. The publisher sent me a free full-text URL so if you click on http://rdcu.be/pLGB you can download the PDF. So, with a large very detailed obstretric database we could investigate what is a normal umbilical artery pH in well preterm and term infants. In the paper you also find a graphical representation what is a normal pH (a percentile chart, like a growth chart) Our take-home-message is that fetal acidosis may not be well defined as a static cut.off (like <7.00 or <7.10) but rather like a gestational age-adjusted measurement, like <1st percentile.

Dear Colleagues, Is anyone running neonatal lung ultrasound courses in Europe at present. Alok aloksharma@nhs.net

I have a clever consultant colleague who has developed NeoTap, an app (for Ipad) for neonatal resuscitation. The idea that one person in the team uses NeoTap for recording vital signs, Apgar score etc, and records what interventions are done during resusc. The app is yet only available in Swedish but I know there are plans to make the app multi-lingual. It is only available for Ipad (iOS), but the technical requirements are low, i.e. it can be used on older Ipad-models. The organisation behind NeoTap is Tap4Life (http://tap4life.org), a non-profit organisation in Sweden, dedicated to simple technical tools for resuscitation in low- and middle-income countr…

Good morning, I am pleased to write you. I am a Peruvian neonatologist and I would like to share ideas and comments about Five Inflation Breaths (5-IB) strategy. I belong to a group of pediatrician that is interested in strategies for triggering First Breath at birth (1)... and 5-IB seem very interesting. 5-IB is mostly used in Europe, but not in America (2) (3). I wonder if it is possible to compare such differences through an ecological study analyzing European and American data.... I am writing to ask if someone believe that we can work together in this kind of ecological research?... Could you share with us some statistical data from Eu…

Background: Neonatal resuscitation and positive pressure ventilation. Decision node: Oxygen concentration: 21%... 40% ... 100% Question: which one is better, under what circumstances? Carlos DELGADO Pediatrician Neonatologist Instituto Nacional de Salud del Niño Lima PERU

NRP - 7th edition is here !!! http://pediatrics.aappublications.org/content/early/2015/10/13/peds.2015-3373D.full.pdf+html Pediatrics-2015-Perlman-peds.2015-3373D.pdf

I have a colleague who is interested in surveying European neonatologists about acute kidney injury. Is there a society of Europe (like the AAP in the US) that anyone would recommend to start with?

I guess many of you have read the interesting article in NEJM about Between-Hospital Variation in Treatment and Outcomes in Extremely Preterm Infants , and the great editorial by Neil Marlow on the Elephant in the Delivery Room. In short, the research article showed that NICUs (in the US) being more pro-active in resuscitating 22week-infants had a greater survival and better outcomes than those NICUs that were more restrictive to act after deliveries at 22 (completed) weeks. However, even in "active" NICUs mortality was 77% at 22 weeks, as compared to 95% in "passive NICUs. And survival without major impairment was 15% and 3% in active and passive NICUs, respecti…