Neonatal resuscitation guidelines

Prasad, Supritha; Watcher, Daniel; Aitchison, Robert; Aitchison, Pamela; Wang, Ernest; Kharasch, M. S.

doi:10.1016/j.disamonth.2013.03.005

Cited by 5 publications

(2 citation statements)

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“…Reducing heat loss in preterm infants in the first few days after birth has been reported to increase survival rates. [ 7 , 8 ] The International Liaison Committee on Resuscitation (ILCOR) consensus statement recommends the use of plastic wrap as a standard technique to maintain body temperature. [ 9 ] However, the use of plastic wrap in the preterm infants requires further investigation.…”

Section: Introductionmentioning

confidence: 99%

Efficacy and Safety of Plastic Wrap for Prevention of Hypothermia after Birth and during NICU in Preterm Infants: A Systematic Review and Meta-Analysis

Guo

Zou

et al. 2016

PLoS ONE

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ObjectiveThis meta-analysis aimed to investigate the efficacy and safety of plastic wrap applied after birth and during NICU in preterm infants for prevention of heat loss in preterm infants.Study MethodsThe Medline (1950 to August 2015), the Cochrane Central Register of Controlled Trials (CENTRAL, Issue 7, 2015), CINAHL (1982 to August 2015) and the Embase (1974 to August 2015) databases were searched for randomized controlled trials (RCTs) or quasi-RCTs with main outcomes related to the core temperature (baseline temperature and/or post-stabilization temperature), hypothermia, mortality rate and hyperthermia.ResultThe included studies were of low to moderate quality. Compared with unwrapped infants, plastic wrap was associated with a significantly higher baseline temperature and post-stabilization temperature both in infants < 28 weeks of gestation (mean difference [MD] = 0.62, 95% CI 0.38 to 0.85; MD = 0.41, 95% CI 0.33 to 0.50, respectively), and in infants between 28 to 34 weeks of gestation (MD = 0.54, 95% CI 0.21 to 0.87; MD = 0.64, 95% CI 0.45 to 0.82, respectively). Use of plastic wrap was associated with lower incidence of hypothermia (relative risk [RR] = 0.70, 95% CI 0.63 to 0.78). However, use of plastic wrap in preterm infants was not associated with decrease in mortality (RR: 0.88, 95% CI 0.70 to 1.12, P = 0.31). Incidence of hyperthermia was significantly higher in the plastic wrap group as compared to that in the control group (RR = 2.55, 95% CI: 1.56 to 4.15, P = 0.0002). Hyperthermia in the plastic wrap group was resolved within one or two hours after unwrapping the babies.ConclusionPlastic wrap can be considered an effective and safe additional intervention to prevent hypothermia in preterm infants. However, its cost-effectiveness and long-term effect on mortality needs to be ascertained by conducting well-designed studies with longer follow-up period.

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Section: Introductionmentioning

confidence: 99%

Efficacy and Safety of Plastic Wrap for Prevention of Hypothermia after Birth and during NICU in Preterm Infants: A Systematic Review and Meta-Analysis

Guo

Zou

et al. 2016

PLoS ONE

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“…In recent years, pulse oximetry (PO) has been recognized as an easily applicable, non-invasive monitoring tool and is now routinely used in the delivery room to monitor transition at birth [ 5 , 15 , 22 , 24 ]. PO is recommended for objective evaluation of heart rate (HR) and oxygen saturation (SpO 2 ) at birth [ 5 , 26 ], and it is used to decide if interventions are necessary [ 16 , 20 , 31 ].…”

Section: Introductionmentioning

confidence: 99%

The perfusion index of healthy term infants during transition at birth

et al. 2015

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Perfusion index is a continuous parameter provided by pulse oximetry and might be useful for evaluating hemodynamic changes at birth and identifying transitional problems. The objective was to describe perfusion index values in term infants immediately after birth. Perfusion index of 71 healthy term born infants were recorded during the first 10 min after birth, using a pulse oximetry sensor placed preductally. A Wilcoxon signed-rank test was used to compare between time points. No significant trend in perfusion index could be observed in term-delivered infants. There was a significant difference between 2 and 3 min (2.4 (1.6–5.0) vs. 2.3 (1.6–3.7), p = 0.05) and between 3 and 4 min after birth (2.3 (1.6–3.7) vs. 2.1 (1.4–3.2), p < 0.001). There was no significant change in median PI values in the following 8 min.Conclusion: Perfusion index does not change significantly during transition at birth in healthy term infants born by normal vaginal delivery or cesarean section. Large variation in perfusion index causes monitoring this parameter to have limited value. What is known: • Perfusion index is a non-invasive indicator for peripheral perfusion.• Perfusion index values <1.24 are seen as an accurate predictor for severity of illness for infants admitted to the neonatal intensive care unit. What is new: • Although significant physiological changes occur during birth, perfusion index remains stable.• Large variation in perfusion index causes monitoring of this value to have limited value as an additional parameter for evaluating transition at birth.

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Operative Care of Obstetric Patients

Cosgrove

2015

Critical Care Nursing Clinics of North America

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Neonatal resuscitation guidelines

Cited by 5 publications

References 1 publication

Efficacy and Safety of Plastic Wrap for Prevention of Hypothermia after Birth and during NICU in Preterm Infants: A Systematic Review and Meta-Analysis

Efficacy and Safety of Plastic Wrap for Prevention of Hypothermia after Birth and during NICU in Preterm Infants: A Systematic Review and Meta-Analysis

The perfusion index of healthy term infants during transition at birth

Operative Care of Obstetric Patients

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