Back rubs or foot flicks for neonatal stimulation at birth in a low-resource setting: A randomized controlled trial

Cavallin, Francesco; Lochoro, Peter; Ictho, Jerry; Nsubuga, John Bosco; Ameo, Jesca; Putoto, Giovanni; Trevisanuto, Daniele

doi:10.1016/j.resuscitation.2021.08.028

Cited by 8 publications

(3 citation statements)

References 16 publications

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“…There was no difference between the 2 techniques in achieving effe ctive crying to prevent the need for PPV. 211 This study could not be included in the SysRev because of the lack of a control group who did not receive tactile stimulation.…”

Section: Clinical Statements and Guidelinesmentioning

confidence: 99%

“…Despite the possible benefits outlined above, there are some concerns related to possible adverse effects of tactile stimulation in delaying the initiation of ventilation beyond 60 seconds after birth, which may then compromise the efficacy of the overall resuscitation. 209,211,214 In addition, there is a report of soft tissue trauma after tactile stimulation. 215…”

Section: Clinical Statements and Guidelinesmentioning

confidence: 99%

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2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces

Wyckoff¹,

Greif²,

Morley³

et al. 2022

Circulation

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This is the sixth annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. This summary addresses the most recently published resuscitation evidence reviewed by International Liaison Committee on Resuscitation Task Force science experts. Topics covered by systematic reviews include cardiopulmonary resuscitation during transport; approach to resuscitation after drowning; passive ventilation; minimizing pauses during cardiopulmonary resuscitation; temperature management after cardiac arrest; use of diagnostic point-of-care ultrasound during cardiac arrest; use of vasopressin and corticosteroids during cardiac arrest; coronary angiography after cardiac arrest; public-access defibrillation devices for children; pediatric early warning systems; maintaining normal temperature immediately after birth; suctioning of amniotic fluid at birth; tactile stimulation for resuscitation immediately after birth; use of continuous positive airway pressure for respiratory distress at term birth; respiratory and heart rate monitoring in the delivery room; supraglottic airway use in neonates; prearrest prediction of in-hospital cardiac arrest mortality; basic life support training for likely rescuers of high-risk populations; effect of resuscitation team training; blended learning for life support training; training and recertification for resuscitation instructors; and recovery position for maintenance of breathing and prevention of cardiac arrest. Members from 6 task forces have assessed, discussed, and debated the quality of the evidence using Grading of Recommendations Assessment, Development, and Evaluation criteria and generated consensus treatment recommendations. Insights into the deliberations of the task forces are provided in the Justification and Evidence-to-Decision Framework Highlights sections, and priority knowledge gaps for future research are listed.

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Section: Clinical Statements and Guidelinesmentioning

confidence: 99%

Section: Clinical Statements and Guidelinesmentioning

confidence: 99%

2022 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; and First Aid Task Forces

Wyckoff¹,

Greif²,

Morley³

et al. 2022

Circulation

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“…Delaying PPV leads to a progressive decrease in oxygenation and heart rate and potential death and/or brain injury in surviving neonates (7)(8)(9)(10). Ventilation, early assessment of heart rate, and basic steps such as drying, and stimulation have been emphasized (11)(12)(13)(14)(15)(16).…”

Section: Introductionmentioning

confidence: 99%

Neonatal resuscitation monitoring: A low-cost video recording setup for quality improvement in the delivery room at the resuscitation table

Olson

Bui²,

Mpamize³

et al. 2022

Front. Pediatr.

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BackgroundThe quality of neonatal resuscitation after delivery needs to be improved to reach the Sustainable Development Goals 3.2 (reducing neonatal deaths to <12/1,000 live newborns) by the year 2030. Studies have emphasized the importance of correctly performing the basic steps of resuscitation including stimulation, heart rate assessment, ventilation, and thermal control. Recordings with video cameras have previously been shown to be one way to identify performance practices during neonatal resuscitation.MethodsA description of a low-cost delivery room set up for video recording of neonatal resuscitation. The technical setup includes rechargeable high-definition cameras with two-way audio, NeoBeat heart rate monitors, and the NeoTapAS data collection tools for iPad with direct data export of data for statistical analysis. The setup was field tested at Mulago National Referral Hospital, Kampala, Uganda, and Phu San Hanoi Hospital, Hanoi, Vietnam.ResultsThe setup provided highly detailed resuscitation video footage including data on procedures and team performance, heart rate monitoring, and clinical assessment of the neonate. The data were analyzed with the free-of-charge NeoTapAS for iPad, which allowed fast and accurate registration of all resuscitative events. All events were automatically registered and exported to R statistical software for further analysis.ConclusionsVideo analysis of neonatal resuscitation is an emerging quality assurance tool with the potential to improve neonatal resuscitation outcomes. Our methodology and technical setup are well adapted for low- and lower-middle-income countries settings where improving neonatal resuscitation outcomes is crucial. This delivery room video recording setup also included two-way audio communication that potentially could be implemented in day-to-day practice or used with remote teleconsultants.

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Reply to: “Back rubs versus foot flicks – Query still persists for our babies”

et al. 2021

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Back rubs or foot flicks for neonatal stimulation at birth in a low-resource setting: A randomized controlled trial

Cited by 8 publications

References 16 publications

Neonatal resuscitation monitoring: A low-cost video recording setup for quality improvement in the delivery room at the resuscitation table

Reply to: “Back rubs versus foot flicks – Query still persists for our babies”

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