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30.04.2018 | Original Article | Ausgabe 7/2018 Open Access

European Journal of Pediatrics 7/2018

Timing and documentation of key events in neonatal resuscitation

Zeitschrift:
European Journal of Pediatrics > Ausgabe 7/2018
Autoren:
Adam Charles Heathcote, Jacqueline Jones, Paul Clarke
Wichtige Hinweise
Communicated by Patrick Van Reempts

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.
What is Known:
• Only a minority of babies require extended resuscitation at birth; these cases are often subject to medicolegal interrogation
• Timings of key resuscitation events are poorly described and documentation of resuscitation events is often lacking yet is open to medicolegal scrutiny
What is New:
• We present a wide range of real-life timings of key resuscitation events during the era of routine newborn life support training
• These timings may prove useful to clinicians involved in medical negligence claims and provide a baseline for quality improvements in resuscitation training

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