Timing and documentation of key events in neonatal resuscitation

Adam Charles Heathcote, Jacqueline Jones, Paul Clarke (Lead Author)

Research output: Contribution to journalArticle

5 Citations (Scopus)
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Abstract

Only a minority of babies require extended resuscitation at birth. Resuscitations concerning babies who die or who survive with adverse outcomes are increasingly subject to medicolegal scrutiny. Our aim was to describe real-life timings of key resuscitation events observed in a historical series of newborns who required full resuscitation at birth. Twenty-seven babies born in our centre over a 10-year period had an Apgar score of 0 at 1 min and required full resuscitation. The median (95% confidence interval) postnatal age at achieving key events were commencing cardiac compressions, 2.0 (1.5–4.0) min; endotracheal intubation, 3.8 (2.0–6.0) min; umbilical venous catheterisation 9.0 (7.5–12.0) min; and administration of first adrenaline dose 10.0 (8.0–14.0) min.

Conclusion: The wide range of timings presented from real-life cases may prove useful to clinicians involved in medical negligence claims and provide a baseline for quality improvements in resuscitation training.
Original languageEnglish
Pages (from-to)1053–1056
JournalEuropean Journal of Pediatrics
Volume177
Issue number7
Early online date30 Apr 2018
DOIs
Publication statusPublished - Jul 2018

Keywords

  • Neonatology
  • Resuscitation
  • Umbilical venous catheter
  • Medicolegal

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