Resuscitation

when does one stop resuscitation in delivery room?, what exactly the establishment of circulation means while resuscitating the newborn?

This is the instructor resource site on the AAP-NRP website. They have plenty of useful downloadable presentations: http://www.aap.org/nrp/instres/instres_slidesarchive.html

Is SiPAP being used in most NICU's?

Some in Nicu VG set to 4-5 ml / kg and rose PEEP to improve oxygenation to get off to FiO2 of 0.30. What steps cmH2O for PEEP and times change you? Max value for PEEP? thanks

the new australian neonatal resuscitation guidelines is out in the january/februrary issue of journal of paediatric and child health New Australian Neonatal Resuscitation guidelines Colin Morley* Abstract: New Australian Neonatal Resuscitation Guidelines highlight the recent advances in neonatal resuscitation. Resuscitation should start with air and only use oxygen if the infant does not respond. CPAP and PEEP should be considered for premature infants with meconium stained liquor. Sucking out the mouth and nose is not necessary. Infants less than 28 weeks gestation should be placed in a polyethylene bag or wrap to keep warm. Chest compressions, when required,…

Dear colleagues... During my 28 years practice in neonatology ..i have noticed with growing evidence that babies who were asphyxiated perinatally are resistant to hyperbilirubinemia and also to sepsis..an impression that i would like to find any one sharing this experience with me.. thanks..waiting for your response

In our set up, we are using only the peripheral lines ( No central line). We encounter difficulty > 7 days of NICU care. When we called to help, it's really difficult to get a line . Do you have any easy way for starting a peripheral iv line ? any good old advice from experience?. Thanks dr.r.selvan India

Dear colleagues... Best wishes... any onre has experience in using Mgso4 in birth asphyxia and it's beneficial effects on late complications of asphyxia thanks

Gastric empying at birth: good or bad practice? My opinion is that it is equivalent to throw away the first reserve of feed. Mirko Spacapan NICU Udine ITALY

We have been looking at factors which need to be taken into consideration when resuscitating extreme preterms. One which is mentioned regularly is extensive or excessive bruising. Despite a literature search we have been unable to find any supporting evidence to support this although we have all experienced these babies having a poor outcome in practice. Does anyone know of any such research or any papers that discuss how to 'grade' the bruising etc? Thanks in advance