Timing and documentation of key events in neonatal resuscitation

Heathcote, Adam Charles, Jones, Jacqueline and Clarke, Paul (2018) Timing and documentation of key events in neonatal resuscitation. European Journal of Pediatrics, 177 (7). 1053–1056. ISSN 0340-6199

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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.

Item Type: Article
Uncontrolled Keywords: neonatology,resuscitation,umbilical venous catheter,medicolegal
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
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Depositing User: Pure Connector
Date Deposited: 30 May 2018 09:30
Last Modified: 22 Apr 2020 06:41
URI: https://ueaeprints.uea.ac.uk/id/eprint/67238
DOI: 10.1007/s00431-018-3160-8

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