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Iatrogenic Scald Injury Following Neonatal Resuscitation: A Case Report
O.J. Adebami,I.A. Oluwayemi,S.A. Adegoke,A.A. Airemionghale
International Journal of Tropical Medicine , 2012, DOI: 10.3923/ijtmed.2011.1.3
Abstract: We report the case of a13 h old female, referred from a health centre with severe birth asphyxia, neonatal seizures and scald injury resulting from hot water fomentation used as a method of resuscitation. The case as well as the challenges it poses to neonatal health care in Nigeria is discussed this study.
Neonatal resuscitation  [cached]
Kapoor Sarin,Kapoor D
Indian Journal of Critical Care Medicine , 2007,
Abstract: There have been important advances in the science of neonatal resuscitation and various international resuscitation committees have formulated evidence-based recommendations for the performance of resuscitation at birth. The new guidelines for resuscitation at birth were developed by International Liaison Committee on Resuscitation (ILCOR) and were presented at 2005 International Consensus Conference on Emergency Cardiovascular Care and Cardiopulmonary Resuscitation Science with treatment Recommendations. The European Resuscitation Council (ERC) and American Heart Association (AHA) further tailored the guidelines to meet their specific needs. In this article we have discussed the new resuscitation guidelines for newborns issued by ILCOR, American Heart Association and European Resuscitation Council.
NEONATAL RESUSCITATION
FAHEEM FEROZE
The Professional Medical Journal , 2008,
Abstract: Background: The key to success in newborn resuscitation is theknowledge about the neonatal physiology and adequate preparation of the staff involved in the resuscitation process.The pulmonary part of the resuscitation can be accomplished with either Endotracheal Tube (ETT) or Face Mask (FM),both of these techniques require expertise and are associated with high rates of failure. Hence a third potential optionhas been suggested to overcome these problems. Objectives: To evaluate the efficacy of Laryngeal Mask Airway(LMA) in neonatal resuscitation and artificial ventilation and to compare it with that of ETT and FM. To evaluate LMA’sefficiency in situation where endotracheal intubation and facemask ventilation is difficult or not possible. Design: A Noninterventional, analytical / comparative study Setting: Combined Military Hospital Rawalpindi. Period: 20 weeks (1stJanuary 2002 to 31 May 2002). Subjects: A group of 75 neonates born with C-Section were selected on the basis ofnon-probability convenience sampling. They were subdivided into three sub gps with 25 neonates in each sub gp.Interventions; 75 neonates born after C-Section, were divided into sub gps i.e. A, B, and C containing a no of 25neonates in each gp. They were ventilated with ETT, FM and LMA respectively. These newborn babies had an Apgarscore < 4. They were resuscitated using a fix protocol. The efficacy of ventilation with either technique was evaluatedin terms of placement and ventilation. Results: The LMA emerged, as a valuable and better option in newbornresuscitation. Moreover, it was a successful tool in situations where endotracheal intubation and facemask ventilationwas difficult or impossible. Conclusion: The LMA is a potential valuable adjunct for the management of neonatalairway.
Neonatal resuscitation: Current issues  [cached]
Chadha Indu
Indian Journal of Anaesthesia , 2010,
Abstract: The following guidelines are intended for practitioners responsible for resuscitating neonates. They apply primarily to neonates undergoing transition from intrauterine to extrauterine life. The updated guidelines on Neonatal Resuscitation have assimilated the latest evidence in neonatal resuscitation. Important changes with regard to the old guidelines and recommendations for daily practice are provided. Current controversial issues concerning neonatal resuscitation are reviewed and argued in the context of the ILCOR 2005 consensus.
Multiple fractures and iatrogenic burns in a newborn due to unskilled delivery: A case report
Master Administrator
African Journal of Reproductive Health , 2008,
Abstract: High neonatal mortality is the hallmark of developing countries. Most of the deaths are preventable by good antenatal care with risk identification and access to safe delivery. However, only about a third of births are attended by skilled personnel in Nigeria. The case of a newborn (one of a set of twins) delivered by breech in a church maternity, who sustained multiple fractures and thermal burns from resuscitation is presented. The mother had received antenatal care in an orthodox health facility but opted to deliver in the church maternity. We discuss the problems associated with delivery by unskilled birth attendants while reviewing the literature to highlight the roles and mechanisms of church birth attendants. Reproductive health education for women, their families and communities is advocated to enable birth preparedness. Training, supervision, monitoring and regulation of practice of church birth attendants will also be required to improve outcomes (Afr J Reprod Health 2008; 12[3]:197-206).
Iatrogenic Sinistral Hypertension Complicating Screening Colonoscopy  [PDF]
Oliver J. Ziff,A. M. James Shapiro
Case Reports in Surgery , 2013, DOI: 10.1155/2013/695318
Abstract: Colonoscopy is widely accepted as the gold-standard screening technique for detecting malignancies in the distal gastrointestinal tract in patients with symptoms suggestive of colon cancer. However, this procedure is not without risk, including colonic perforation. We report a patient who was managed conservatively after colonoscopy induced perforation. Eighteen months after appearing to make a full recovery, he presented with an upper gastrointestinal bleed. Oesophago-gastro-duodenoscopy (OGD) revealed large gastric fundal varices and computed tomography (CT) revealed splenic vein thrombosis. The ensuing left-sided (sinistral) hypertension explains the development of the fundal varices in the presence of normal liver function. At surgery, a persistent abscess cavity was identified and cultures from this site grew Streptococcus anginosus. Curative splenectomy was performed and the patient made a full recovery. We advocate more prompt operative intervention in selected cases of iatrogenic colonic perforation with primary repair to prevent late complications. 1. Introduction A 69-year-old male presented with a one-week history of postural hypotension and melena. On physical examination, he appeared anemic, and a digital rectal examination confirmed melena. The examination was otherwise unremarkable, and there was no peripheral stigmata of chronic liver disease. Eighteen months previously he underwent a screening colonoscopy where diverticulosis and 8 polyps were snared, removed, and retrieved, varying in size between 5 and 25?mm. Histopathology confirmed benign tubular, tubulovillous adenomas, and adenomatous polyps. Following that procedure he developed a localized perforation in the area of the splenic flexure, with free air and abscess (Figure 1). This was treated conservatively, and he subsequently appeared to make a full recovery. Figure 1: Perforation showing free air in the peritoneum in the area of splenic flexure. Blood tests confirmed anemia (Hb 121?g/L, PLT 186 × 109?g/L), with normal liver function and prothrombin time. Assessment of his upper gastrointestinal bleed by oesophagogastroduodenoscopy (OGD) revealed large gastric fundal varices. Subsequent computed tomography (CT) of the abdomen with triple-phase contrast demonstrated a cluster of varices in the left upper quadrant (Figure 2). The splenic vein was thrombosed over a narrow segment between the tail of the pancreas and spleen. The ensuing left-sided (sinistral) portal hypertension explains the development of gastric varices in the presence of normal liver function. Since these varices
Neonatal Resuscitation: Knowledge And Practice Of Nurses In Western Nigeria
T Ogunlesi, O Dedeke, FA Adekanmbi,, BM Fetuga, AJ Okeniyi
South African Journal of Child Health , 2008,
Abstract: Background. Appropriate resuscitation techniques are crucial to the survival of newborn infants. Objective. To assess knowledge of nurses in western Nigeria about neonatal resuscitation. Method. A cross-sectional survey of the nurses attached to secondary health facilities in western Nigeria was done using a closed-ended questionnaire that tested evaluation and appropriate action aspects of neonatal resuscitation. Results. One hundred and seventy-nine nurses were interviewed. Of these, 72.6% had worked in the labour room and the special care baby unit within the last 5 years while only 14.0% had attended neonatal resuscitation training course within the last 5 years. Similarly, 31.8%, 53.1%, 58.1% and 35.2% had access to radiant warmers, ambu-bags, suction machine and oxygen delivery units, respectively. The knowledge of the respondents was better for evaluation than for appropriate action (95.5% v. 49.7%). Conclusion. The knowledge of the respondents about appropriate actions to be taken during neonatal resuscitation was poor. Frequent and intensive courses on neonatal resuscitation are highly desired. South African Journal of Child Health Vol. 2 (1) 2008: pp. 23-25
LETTER TO THE EDITOR: Paediatric and Neonatal Resuscitation
M.S. Kibirige
African Health Sciences , 2001,
Abstract: Resuscitation: Saving lives is the primary responsibility of secondary care services. Many patients arrive in hospitals when they are acutely ill and are hoping for rescue treatment that will save their lives, but also deal with the primary cause of the acute illness. It is therefore important that all staff involved in the care of such patients is adequately trained and proficient in delivering that service. Resuscitation can be defined as the act of reviving. Many of our patients who are acutely ill do require resuscitation, if further treatment is to be effective and successful. Thus, the necessity for resuscitation is not questionable. In Mulago teaching hospital many children are admitted via the acute care unit (assessment unit) and babies in the maternity unit as well as those in special care baby unit do require resuscitation. In this paper I have tried to discuss the various components of resuscitation, provide experience of the training programme, that has recently been performed and the results. [FULL LETTER IN JOURNAL] African Health Sciences 2001; 1(1): 47-48
Fuzzy expert system in the prediction of neonatal resuscitation
Reis, M.A.M.;Ortega, N.R.S.;Silveira, P.S.P.;
Brazilian Journal of Medical and Biological Research , 2004, DOI: 10.1590/S0100-879X2004000500018
Abstract: in view of the importance of anticipating the occurrence of critical situations in medicine, we propose the use of a fuzzy expert system to predict the need for advanced neonatal resuscitation efforts in the delivery room. this system relates the maternal medical, obstetric and neonatal characteristics to the clinical conditions of the newborn, providing a risk measurement of need of advanced neonatal resuscitation measures. it is structured as a fuzzy composition developed on the basis of the subjective perception of danger of nine neonatologists facing 61 antenatal and intrapartum clinical situations which provide a degree of association with the risk of occurrence of perinatal asphyxia. the resulting relational matrix describes the association between clinical factors and risk of perinatal asphyxia. analyzing the inputs of the presence or absence of all 61 clinical factors, the system returns the rate of risk of perinatal asphyxia as output. a prospectively collected series of 304 cases of perinatal care was analyzed to ascertain system performance. the fuzzy expert system presented a sensitivity of 76.5% and specificity of 94.8% in the identification of the need for advanced neonatal resuscitation measures, considering a cut-off value of 5 on a scale ranging from 0 to 10. the area under the receiver operating characteristic curve was 0.93. the identification of risk situations plays an important role in the planning of health care. these preliminary results encourage us to develop further studies and to refine this model, which is intended to implement an auxiliary system able to help health care staff to make decisions in perinatal care.
Fuzzy expert system in the prediction of neonatal resuscitation  [cached]
Reis M.A.M.,Ortega N.R.S.,Silveira P.S.P.
Brazilian Journal of Medical and Biological Research , 2004,
Abstract: In view of the importance of anticipating the occurrence of critical situations in medicine, we propose the use of a fuzzy expert system to predict the need for advanced neonatal resuscitation efforts in the delivery room. This system relates the maternal medical, obstetric and neonatal characteristics to the clinical conditions of the newborn, providing a risk measurement of need of advanced neonatal resuscitation measures. It is structured as a fuzzy composition developed on the basis of the subjective perception of danger of nine neonatologists facing 61 antenatal and intrapartum clinical situations which provide a degree of association with the risk of occurrence of perinatal asphyxia. The resulting relational matrix describes the association between clinical factors and risk of perinatal asphyxia. Analyzing the inputs of the presence or absence of all 61 clinical factors, the system returns the rate of risk of perinatal asphyxia as output. A prospectively collected series of 304 cases of perinatal care was analyzed to ascertain system performance. The fuzzy expert system presented a sensitivity of 76.5% and specificity of 94.8% in the identification of the need for advanced neonatal resuscitation measures, considering a cut-off value of 5 on a scale ranging from 0 to 10. The area under the receiver operating characteristic curve was 0.93. The identification of risk situations plays an important role in the planning of health care. These preliminary results encourage us to develop further studies and to refine this model, which is intended to implement an auxiliary system able to help health care staff to make decisions in perinatal care.
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