Neonatal resuscitation program (NRP) guidelines and timing of major resuscitation events in delivery rooms at a level III NICU: Understanding deviations

Praveen Kumar Boddu; Pradeep Kumar Velumula; Sanket Jani; Nithi Fernandes; Jorge Lua; Girija Natarajan; Monika Bajaj; Ronald Thomas; Sanjay Chawla

Resuscitation Plus (Mar 2024)

Neonatal resuscitation program (NRP) guidelines and timing of major resuscitation events in delivery rooms at a level III NICU: Understanding deviations

Praveen Kumar Boddu,
Pradeep Kumar Velumula,
Sanket Jani,
Nithi Fernandes,
Jorge Lua,
Girija Natarajan,
Monika Bajaj,
Ronald Thomas,
Sanjay Chawla

Affiliations

Praveen Kumar Boddu: Department of Pediatrics, Boston Children’s Hospital, Harvard Medical School, Boston, MA 02115, USA; Corresponding author at: 3901, Beaubien, Detroit, MI 48201, USA.
Pradeep Kumar Velumula: MercyOne Waterloo Medical Center, Waterloo, IA, USA
Sanket Jani: Department of Pediatrics, Neonatal-Perinatal Medicine, Central Michigan University, Children’s Hospital of Michigan and Hutzel Women’s Hospital, Detroit, MI 48201, USA
Nithi Fernandes: Department of Pediatrics, Neonatal-Perinatal Medicine, Central Michigan University, Children’s Hospital of Michigan and Hutzel Women’s Hospital, Detroit, MI 48201, USA
Jorge Lua: Department of Pediatrics, Neonatal-Perinatal Medicine, Central Michigan University, Children’s Hospital of Michigan and Hutzel Women’s Hospital, Detroit, MI 48201, USA
Girija Natarajan: Department of Pediatrics, Neonatal-Perinatal Medicine, Central Michigan University, Children’s Hospital of Michigan and Hutzel Women’s Hospital, Detroit, MI 48201, USA
Monika Bajaj: Department of Pediatrics, Neonatal-Perinatal Medicine, Central Michigan University, Children’s Hospital of Michigan and Hutzel Women’s Hospital, Detroit, MI 48201, USA
Ronald Thomas: Department of Pediatrics, Central Michigan University, Detroit, MI, 48201, USA
Sanjay Chawla: Department of Pediatrics, Neonatal-Perinatal Medicine, Central Michigan University, Children’s Hospital of Michigan and Hutzel Women’s Hospital, Detroit, MI 48201, USA

Journal volume & issue: Vol. 17
p. 100571

Abstract

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Objective: To describe the timing of major resuscitation events in the Delivery room. Methods: A retrospective study of neonates born at a level III birthing hospital who received chest compressions in the delivery room was conducted. The timing of the resuscitation events i.e., intubation, UVC, endotracheal (ETT), epinephrine and intravenous (IV) epinephrine were described. The timing of these events were compared for deliveries with the presence of neonatology team. Results: 51 neonates were included. An alternate airway was secured at 4.24 ± 5.9 minutes. Endotracheal epinephrine and IV epinephrine were administered at a mean time of 3.98 ± 3 minutes and 10.87± 5.18 minutes after the initiation of chest compressions respectively. Conclusion: Data from real-life cases on the timeline of events suggest that major resuscitation events as suggested by Neonatal Resuscitation Program Guidelines, are often significantly delayed.

Published in Resuscitation Plus

ISSN: 2666-5204 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine
Website: https://www.journals.elsevier.com/resuscitation-plus

About the journal

Abstract

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