Neonatal resuscitation program (NRP) guidelines and timing of major resuscitation events in delivery rooms at a level III NICU: Understanding deviations
Objective: To describe the timing of major resuscitation events in the Delivery room. Methods: A retrospective study of neonates born at a level III birthing hospital who received chest compressions in the delivery room was conducted. The timing of the resuscitation events i.e., intubation, UVC, end...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | Resuscitation Plus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666520424000225 |
| _version_ | 1797242941668851712 |
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| author | Praveen Kumar Boddu Pradeep Kumar Velumula Sanket Jani Nithi Fernandes Jorge Lua Girija Natarajan Monika Bajaj Ronald Thomas Sanjay Chawla |
| author_facet | Praveen Kumar Boddu Pradeep Kumar Velumula Sanket Jani Nithi Fernandes Jorge Lua Girija Natarajan Monika Bajaj Ronald Thomas Sanjay Chawla |
| author_sort | Praveen Kumar Boddu |
| collection | DOAJ |
| description | Objective: To describe the timing of major resuscitation events in the Delivery room. Methods: A retrospective study of neonates born at a level III birthing hospital who received chest compressions in the delivery room was conducted. The timing of the resuscitation events i.e., intubation, UVC, endotracheal (ETT), epinephrine and intravenous (IV) epinephrine were described. The timing of these events were compared for deliveries with the presence of neonatology team. Results: 51 neonates were included. An alternate airway was secured at 4.24 ± 5.9 minutes. Endotracheal epinephrine and IV epinephrine were administered at a mean time of 3.98 ± 3 minutes and 10.87± 5.18 minutes after the initiation of chest compressions respectively. Conclusion: Data from real-life cases on the timeline of events suggest that major resuscitation events as suggested by Neonatal Resuscitation Program Guidelines, are often significantly delayed. |
| first_indexed | 2024-03-07T23:04:56Z |
| format | Article |
| id | doaj.art-3b2497e5a304403dbc07110bafaa3ba7 |
| institution | Directory Open Access Journal |
| issn | 2666-5204 |
| language | English |
| last_indexed | 2024-04-24T18:47:13Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Resuscitation Plus |
| spelling | doaj.art-3b2497e5a304403dbc07110bafaa3ba72024-03-27T04:53:07ZengElsevierResuscitation Plus2666-52042024-03-0117100571Neonatal resuscitation program (NRP) guidelines and timing of major resuscitation events in delivery rooms at a level III NICU: Understanding deviationsPraveen Kumar Boddu0Pradeep Kumar Velumula1Sanket Jani2Nithi Fernandes3Jorge Lua4Girija Natarajan5Monika Bajaj6Ronald Thomas7Sanjay Chawla8Department of Pediatrics, Boston Children’s Hospital, Harvard Medical School, Boston, MA 02115, USA; Corresponding author at: 3901, Beaubien, Detroit, MI 48201, USA.MercyOne Waterloo Medical Center, Waterloo, IA, USADepartment of Pediatrics, Neonatal-Perinatal Medicine, Central Michigan University, Children’s Hospital of Michigan and Hutzel Women’s Hospital, Detroit, MI 48201, USADepartment of Pediatrics, Neonatal-Perinatal Medicine, Central Michigan University, Children’s Hospital of Michigan and Hutzel Women’s Hospital, Detroit, MI 48201, USADepartment of Pediatrics, Neonatal-Perinatal Medicine, Central Michigan University, Children’s Hospital of Michigan and Hutzel Women’s Hospital, Detroit, MI 48201, USADepartment of Pediatrics, Neonatal-Perinatal Medicine, Central Michigan University, Children’s Hospital of Michigan and Hutzel Women’s Hospital, Detroit, MI 48201, USADepartment of Pediatrics, Neonatal-Perinatal Medicine, Central Michigan University, Children’s Hospital of Michigan and Hutzel Women’s Hospital, Detroit, MI 48201, USADepartment of Pediatrics, Central Michigan University, Detroit, MI, 48201, USADepartment of Pediatrics, Neonatal-Perinatal Medicine, Central Michigan University, Children’s Hospital of Michigan and Hutzel Women’s Hospital, Detroit, MI 48201, USAObjective: To describe the timing of major resuscitation events in the Delivery room. Methods: A retrospective study of neonates born at a level III birthing hospital who received chest compressions in the delivery room was conducted. The timing of the resuscitation events i.e., intubation, UVC, endotracheal (ETT), epinephrine and intravenous (IV) epinephrine were described. The timing of these events were compared for deliveries with the presence of neonatology team. Results: 51 neonates were included. An alternate airway was secured at 4.24 ± 5.9 minutes. Endotracheal epinephrine and IV epinephrine were administered at a mean time of 3.98 ± 3 minutes and 10.87± 5.18 minutes after the initiation of chest compressions respectively. Conclusion: Data from real-life cases on the timeline of events suggest that major resuscitation events as suggested by Neonatal Resuscitation Program Guidelines, are often significantly delayed.http://www.sciencedirect.com/science/article/pii/S2666520424000225Neonatal ResuscitationNeonatal Resuscitation ProgramNRPEpinephrine |
| spellingShingle | Praveen Kumar Boddu Pradeep Kumar Velumula Sanket Jani Nithi Fernandes Jorge Lua Girija Natarajan Monika Bajaj Ronald Thomas Sanjay Chawla Neonatal resuscitation program (NRP) guidelines and timing of major resuscitation events in delivery rooms at a level III NICU: Understanding deviations Resuscitation Plus Neonatal Resuscitation Neonatal Resuscitation Program NRP Epinephrine |
| title | Neonatal resuscitation program (NRP) guidelines and timing of major resuscitation events in delivery rooms at a level III NICU: Understanding deviations |
| title_full | Neonatal resuscitation program (NRP) guidelines and timing of major resuscitation events in delivery rooms at a level III NICU: Understanding deviations |
| title_fullStr | Neonatal resuscitation program (NRP) guidelines and timing of major resuscitation events in delivery rooms at a level III NICU: Understanding deviations |
| title_full_unstemmed | Neonatal resuscitation program (NRP) guidelines and timing of major resuscitation events in delivery rooms at a level III NICU: Understanding deviations |
| title_short | Neonatal resuscitation program (NRP) guidelines and timing of major resuscitation events in delivery rooms at a level III NICU: Understanding deviations |
| title_sort | neonatal resuscitation program nrp guidelines and timing of major resuscitation events in delivery rooms at a level iii nicu understanding deviations |
| topic | Neonatal Resuscitation Neonatal Resuscitation Program NRP Epinephrine |
| url | http://www.sciencedirect.com/science/article/pii/S2666520424000225 |
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