Recent Recommendations in Neonatal Resuscitation 2019 UPDATE

Sometimes we need a reminder and update on the basics… Your Welcome.. Recent Recommendations and Emerging Science in Neonatal Resuscitation. Pediatr Clin N Am 66 (2019) 309–320. https://doi.org/10.1016/j.pcl.2018.12.002 TIMING OF UMBILICAL CORD CLAMPING – The 2017 NRP guidelines recommend a 30- to 60-second delay in clamping in all term and preterm infants not requiring resuscitation. – […]

Pediatric Hemodynamic monitoring

Source: American College of Critical Care Medicine Clinical Practice Parameters for Hemodynamic Support of Pediatric and Neonatal Septic Shock. Crit Care Med 2017; 45:1061–1093 Monitoring Goals: Capillary refill <2 or equal to 2 seconds Normal pulses with no differential between the peripheral and central pulses, Warm extremities, Urine output greater than 1mL/kg/hr, Normal mental status, Normal […]

Pediatric ETT Depth

Lee. New decision formulas for predicting ETT depth in children. Emergency Med J. 2018: Retrospective review of 1111 tube depth from CT images: <1 yo 5.5+0.5xWt[kg] >1 yo 3 + 0.1xHt[cm] Difference from formula: -.5 cm, -2 cm, `1.5 for Formula, Broselow, APLS 1 x ETT = (age/4) + 4 (formula for uncuffed tubes) 2 x ETT […]