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Cardiorespiratory Monitoring during Neonatal Resuscitation for Direct Feedback and Audit.

van Vonderen JJ, van Zanten HA, Schilleman K, Hooper SB, Kitchen MJ, Witlox RS, Te Pas AB - Front Pediatr (2016)

Bottom Line: Clinical parameters such as heart rate, color, and chest excursions are difficult to interpret and can be very subjective and subtle.These physiological parameters, with or without the combination of video recordings, can not only be used directly to guide care but also be used later for audit and teaching purposes.Further studies are needed to investigate whether this will improve the quality of delivery room management.

View Article: PubMed Central - PubMed

Affiliation: Division of Neonatology, Department of Pediatrics, Leiden University Medical Center , Leiden , Netherlands.

ABSTRACT
Neonatal resuscitation is one of the most frequently performed procedures, and it is often successful if the ventilation applied is adequate. Over the last decade, interest in seeking objectivity in evaluating the infant's condition at birth or the adequacy and effect of the interventions applied has markedly increased. Clinical parameters such as heart rate, color, and chest excursions are difficult to interpret and can be very subjective and subtle. The use of ECG, pulse oximetry, capnography, and respiratory function monitoring can add objectivity to the clinical assessment. These physiological parameters, with or without the combination of video recordings, can not only be used directly to guide care but also be used later for audit and teaching purposes. Further studies are needed to investigate whether this will improve the quality of delivery room management. In this narrative review, we will give an update of the current developments in monitoring neonatal resuscitation.

No MeSH data available.


Related in: MedlinePlus

Recording showing a respiratory tracing showing flow, pressure, and capnography in waveforms. During positive pressure ventilation (PPV), CO2 goes back to 0 during most of the inflations. During spontaneous breathing in continuous positive airway pressure (CPAP) CO2 does not go back to 0 due to small tidal volumes and stasis in the sensor.
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Figure 2: Recording showing a respiratory tracing showing flow, pressure, and capnography in waveforms. During positive pressure ventilation (PPV), CO2 goes back to 0 during most of the inflations. During spontaneous breathing in continuous positive airway pressure (CPAP) CO2 does not go back to 0 due to small tidal volumes and stasis in the sensor.

Mentions: It was recently showed that spontaneous breathing, added dead space (mask, flow and CO2 sensors), mask leak, and laryngeal obstruction during mask ventilation greatly influences exhaled CO2 measurements and can easily misinform the caregiver (Figure 2) (74).


Cardiorespiratory Monitoring during Neonatal Resuscitation for Direct Feedback and Audit.

van Vonderen JJ, van Zanten HA, Schilleman K, Hooper SB, Kitchen MJ, Witlox RS, Te Pas AB - Front Pediatr (2016)

Recording showing a respiratory tracing showing flow, pressure, and capnography in waveforms. During positive pressure ventilation (PPV), CO2 goes back to 0 during most of the inflations. During spontaneous breathing in continuous positive airway pressure (CPAP) CO2 does not go back to 0 due to small tidal volumes and stasis in the sensor.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4834521&req=5

Figure 2: Recording showing a respiratory tracing showing flow, pressure, and capnography in waveforms. During positive pressure ventilation (PPV), CO2 goes back to 0 during most of the inflations. During spontaneous breathing in continuous positive airway pressure (CPAP) CO2 does not go back to 0 due to small tidal volumes and stasis in the sensor.
Mentions: It was recently showed that spontaneous breathing, added dead space (mask, flow and CO2 sensors), mask leak, and laryngeal obstruction during mask ventilation greatly influences exhaled CO2 measurements and can easily misinform the caregiver (Figure 2) (74).

Bottom Line: Clinical parameters such as heart rate, color, and chest excursions are difficult to interpret and can be very subjective and subtle.These physiological parameters, with or without the combination of video recordings, can not only be used directly to guide care but also be used later for audit and teaching purposes.Further studies are needed to investigate whether this will improve the quality of delivery room management.

View Article: PubMed Central - PubMed

Affiliation: Division of Neonatology, Department of Pediatrics, Leiden University Medical Center , Leiden , Netherlands.

ABSTRACT
Neonatal resuscitation is one of the most frequently performed procedures, and it is often successful if the ventilation applied is adequate. Over the last decade, interest in seeking objectivity in evaluating the infant's condition at birth or the adequacy and effect of the interventions applied has markedly increased. Clinical parameters such as heart rate, color, and chest excursions are difficult to interpret and can be very subjective and subtle. The use of ECG, pulse oximetry, capnography, and respiratory function monitoring can add objectivity to the clinical assessment. These physiological parameters, with or without the combination of video recordings, can not only be used directly to guide care but also be used later for audit and teaching purposes. Further studies are needed to investigate whether this will improve the quality of delivery room management. In this narrative review, we will give an update of the current developments in monitoring neonatal resuscitation.

No MeSH data available.


Related in: MedlinePlus