scholarly journals Accuracy of real-time delivery room resuscitation documentation

2018 ◽  
Vol 105 (2) ◽  
pp. 222-224 ◽  
Author(s):  
Claire E Fishman ◽  
Danielle D Weinberg ◽  
Ashley Murray ◽  
Elizabeth E Foglia
Keyword(s):  
Heart Rate ◽  
Oxygen Saturation ◽  
Real Time ◽  
Vital Sign ◽  
Gold Standard ◽  
Neonatal Intensive Care ◽  
Video Recording ◽  
Neonatal Resuscitation ◽  
Delivery Room ◽  
Level 3

ObjectiveTo assess the accuracy of real-time delivery room resuscitation documentation.DesignRetrospective observational study.SettingLevel 3 academic neonatal intensive care unit.ParticipantsFifty infants with video recording of neonatal resuscitation.Main outcome measuresVital sign assessments and interventions performed during resuscitation. The accuracy of written documentation was compared with video gold standard.ResultsTiming of initial heart rate assessment agreed with video in 44/50 (88%) records; the documented heart rate was correct in 34/44 (77%) of these. Heart rate and oxygen saturation were documented at 5 min of life in 90% of resuscitations. Of these, 100% of heart rate and 93% of oxygen saturation values were correctly recorded. Written records accurately reflected the mode(s) of respiratory support for 89%–100%, procedures for 91%–100% and medications for 100% of events.ConclusionReal-time documentation correctly reflects interventions performed during delivery room resuscitation but is less accurate for early vital sign assessments.

scholarly journals Characterisation of Textile Embedded Electrodes for Use in a Neonatal Smart Mattress Electrocardiography System

Sensors ◽  
2021 ◽  
Vol 21 (3) ◽  
pp. 999
Author(s):  
Henry Dore ◽  
Rodrigo Aviles-Espinosa ◽  
Zhenhua Luo ◽  
Oana Anton ◽  
Heike Rabe ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Heart Rate ◽  
Intensive Care ◽  
High Resolution ◽  
Neonatal Intensive Care Unit ◽  
Real Time ◽  
Neonatal Intensive Care ◽  
Delivery Room ◽  
Proof Of Concept ◽  
Heart Rate Monitoring

Heart rate monitoring is the predominant quantitative health indicator of a newborn in the delivery room. A rapid and accurate heart rate measurement is vital during the first minutes after birth. Clinical recommendations suggest that electrocardiogram (ECG) monitoring should be widely adopted in the neonatal intensive care unit to reduce infant mortality and improve long term health outcomes in births that require intervention. Novel non-contact electrocardiogram sensors can reduce the time from birth to heart rate reading as well as providing unobtrusive and continuous monitoring during intervention. In this work we report the design and development of a solution to provide high resolution, real time electrocardiogram data to the clinicians within the delivery room using non-contact electric potential sensors embedded in a neonatal intensive care unit mattress. A real-time high-resolution electrocardiogram acquisition solution based on a low power embedded system was developed and textile embedded electrodes were fabricated and characterised. Proof of concept tests were carried out on simulated and human cardiac signals, producing electrocardiograms suitable for the calculation of heart rate having an accuracy within ±1 beat per minute using a test ECG signal, ECG recordings from a human volunteer with a correlation coefficient of ~ 87% proved accurate beat to beat morphology reproduction of the waveform without morphological alterations and a time from application to heart rate display below 6 s. This provides evidence that flexible non-contact textile-based electrodes can be embedded in wearable devices for assisting births through heart rate monitoring and serves as a proof of concept for a complete neonate electrocardiogram monitoring system.

NeoBeat offers rapid newborn heart rate assessment

2021 ◽  
pp. fetalneonatal-2020-320901
Author(s):  
Jessica Brittany Bush ◽  
Victoria Cooley ◽  
Jeffrey Perlman ◽  
Catherine Chang
Keyword(s):  
Heart Rate ◽  
Pulse Oximetry ◽  
Real Time ◽  
Neonatal Resuscitation ◽  
Design Methods ◽  
Delivery Room ◽  
Term Infants ◽  
Dry Electrode ◽  
Device Placement ◽  
Small Cohort

BackgroundHeart rate (HR) is used to guide interventions during delivery room (DR) neonatal resuscitation. Dry electrode ECG (NeoBeat) may detect HR more rapidly than pulse oximetry (PO) and portable ECG, but real-time comparisons of these devices are lacking.Design/methodsPO, ECG and NeoBeat were placed sequentially on newborns in the DR. Time for device placement and time to accurate HR acquisition were noted.ResultsDR resuscitations of 28 preterm/term infants were observed. The NeoBeat was placed faster (ie, 3 s) than PO (20 s, p=<0.0001) and ECG (16 s, p=<0.0001). Total time from initiation of device placement to HR acquisition was fastest with NeoBeat (13 s) versus ECG (42 s, p<0.0001) and PO (105 s, p<0.0001) (duration values=median).ConclusionsThese observations in a small cohort of relatively well neonates demonstrate that the NeoBeat is significantly faster to place and consistently acquires HR faster than PO and ECG.

Gelatin Sign: Ultrasonographic Evidence of Cerebral Necrosis in Infants

PEDIATRICS ◽  
1986 ◽  
Vol 77 (5) ◽  
pp. 774-777
Author(s):  
RICHARD V. COLAN
Keyword(s):  
Real Time ◽  
Neonatal Intensive Care ◽  
Video Recording ◽  
Cranial Ultrasound ◽  
Neonatal Brain ◽  
Low Birth Weight Infants ◽  
Newborn Brain ◽  
Abnormal Response ◽  
Level 3 ◽  
Cerebral Necrosis

Since its introduction, real-time ultrasonographic imaging of the neonatal brain has proven valuable in detecting a variety of pathologic and anatomic disturbances of the newborn brain.1-3 High resolution scanning heads, bedside technique, and video recording also allow study of the intracranial movement and responses to intrinsic and extrinsic forces. This paper reports six cases of infants with severe brain disease of widely different etiologies, in which abnormal response was found to cranial percussion, termed the "gelatin sign." MATERIALS AND METHODS A total of 506 consecutive real-time cranial ultrasound scans were obtained in 333 cases from a Level 3, regional neonatal intensive care unit. The scans were ordered by attending neonatologists to study the CNS in low birth weight infants and infants suspected of having intracranial disease.

scholarly journals A Novel Real-Time Human Heart Rate Estimation Method for Noncontact Vital Sign Radar Detection

IEEE Access ◽  
2020 ◽  
Vol 8 ◽  
pp. 88689-88699
Author(s):  
Yipeng Ding ◽  
Xiali Yu ◽  
Chengxi Lei ◽  
Yinhua Sun ◽  
Xuemei Xu ◽  
...  
Keyword(s):  
Heart Rate ◽  
Real Time ◽  
Vital Sign ◽  
Human Heart ◽  
Estimation Method ◽  
Radar Detection ◽  
Rate Estimation ◽  
Heart Rate Estimation

scholarly journals Pediatrics Residents' Preparedness for Neonatal Resuscitation Assessed Using High-Fidelity Simulation

2013 ◽  
Vol 5 (3) ◽  
pp. 399-404 ◽  
Author(s):  
Leandro Cordero ◽  
Brandon J. Hart ◽  
Rene Hardin ◽  
John D. Mahan ◽  
Peter J. Giannone ◽  
...  
Keyword(s):  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Neonatal Resuscitation ◽  
Delivery Room ◽  
Positive Pressure ◽  
High Fidelity ◽  
Procedural Skill ◽  
Actual Performance ◽  
Self Confidence ◽  
Skill Performance

Abstract Background Pediatrics residents are expected to demonstrate preparedness for neonatal resuscitation, yet research has shown gaps in residents' readiness to perform this skill. Objective To evaluate procedural skills and team performance of pediatrics residents during neonatal resuscitation (NR) using a high-fidelity mannequin, and to assess residents' confidence in their NR skills before and after training. Methods Two teams of residents (all had completed NR program training) participated in 2 separate, 90-minute sessions (2 to 3 weeks apart) in an off-site delivery room during their neonatal intensive care rotation. Residents' confidence in assisting and leading NR was surveyed before each session. Teams participated in a scenario (adapted from the NR program), which required 5 skills (positive pressure ventilation, chest compressions, endotracheal intubation, umbilical vein catheterization, and epinephrine administration). Video recording was used for debriefing and scoring. Skills were scored for technique and timeliness, and team behaviors were scored for communication, management, and leadership. Results Twenty-six residents (11 teams) completed 2 paired sessions. Self-confidence scores increased between the 2 sessions but were not correlated with performance. Gaps in procedural skill performance were observed, and timeliness for most skills did not meet expectations. Significant improvement in team communication was noted. Conclusions Important gaps in procedural skill performance, particularly timeliness, were detected by NR simulation training; residents' improvements in self-confidence did not reflect gains in actual performance. Their relative unpreparedness for NR (despite prior certification) highlights the need for deliberate practice and specific team training before and during neonatal intensive care delivery room rotations.

scholarly journals Design and Implementation of an OCC-Based Real-Time Heart Rate and Pulse-Oxygen Saturation Monitoring System

IEEE Access ◽  
2020 ◽  
Vol 8 ◽  
pp. 198740-198747
Author(s):  
Md. Faisal Ahmed ◽  
Moh. Khalid Hasan ◽  
Md. Shahjalal ◽  
Md. Morshed Alam ◽  
Yeong Min Jang
Keyword(s):  
Heart Rate ◽  
Oxygen Saturation ◽  
Real Time ◽  
Monitoring System ◽  
Design And Implementation

scholarly journals Severe Birth Asphyxia without Sequelae: A Case Report

2019 ◽  
Vol 57 (218) ◽  
Author(s):  
Sujata Dahal ◽  
Roshan Lama ◽  
Nita Lohala ◽  
Prashant Simkhada ◽  
Meena Thapa ◽  
...  
Keyword(s):  
Heart Rate ◽  
Neonatal Intensive Care ◽  
Life Support ◽  
Perinatal Asphyxia ◽  
Neonatal Resuscitation ◽  
Birth Asphyxia ◽  
Advanced Life Support ◽  
Neonatal Morbidity ◽  
Neurodevelopmental Delay ◽  
History Of

Perinatal asphyxia is one of the major causes of neonatal morbidity and mortality. It mainly causes neurodevelopmental delay leading to hypoxic-ischemic encephalopathy. We present here the case of a preterm male baby of 1670 grams born at 31+3 weeks of gestation delivered by 25-year-old primi mother through vaginal delivery with history of umbilical cord prolapse. At birth, the baby had no heart rate and cyanosed following which he was resuscitated according to the Neonatal Advanced Life Support 2015 guidelines protocol.  After 5 minutes of neonatal resuscitation, the baby’s heart rate reappeared, but was only upto 20 beats/min and resuscitation thus continued. But heart rate did not improve despite of using all form of resuscitation procedure including intubation and drugs. After 2 hours, baby cried spontaneously and later baby was managed in Neonatal Intensive Care Unit according to the neonatal unit protocol of the hospital.   

Use of Individualized Versus Standard Criteria to Identify Abnormal Levels of Heart Rate or Oxygen Saturation in Preterm Infants

2001 ◽  
Vol 9 (2) ◽  
pp. 181-200 ◽  
Author(s):  
Lynda Harrison ◽  
Michael L. Berbaum ◽  
John T. Stem ◽  
Katherine Peters
Keyword(s):  
Heart Rate ◽  
Oxygen Saturation ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Physiological Responses ◽  
Clinical Effectiveness ◽  
Low Oxygen ◽  
Heart Rates ◽  
Developmental Care ◽  
Physiological Indicators

Preterm infants’ physiological indicators, such as heart rate, respiratory rate, and oxygen saturation levels, are routinely monitored by devices that can alert nurses to threatening changes in condition. Most Neonatal Intensive Care Units use standard criteria as alerting algorithms to determine when an alert should be issued, and these standard criteria have been adopted uncritically in studies of preterm infants. This article presents results from a study examining preterm infants’ physiological responses to a gentle human touch (GHT) intervention in which we compared the use of standard and individualized criteria to define the percentages of abnormally low and high heart rates (HRs) and abnormally low oxygen saturation (O2 sat) levels before, during, and after periods of GHT. Results indicated that there were no differences in the percentages of abnormal HRs or O2 sat values between periods using standard criteria. However, using individualized criteria, there were significantly greater percentages of abnormally low heart rates and O2 sat levels during and after GHT periods as compared to baseline periods. The findings suggest that standard criteria may not be sensitive enough to detect subtle physiological responses to environmental stimuli such as touch. Moreover, consistent with the recognition of the value of individualized developmental care, these results suggest that the clinical effectiveness of individualized criteria for setting monitor alert limits merits further investigation.

scholarly journals Evaluation of Heart Rate Assessment Timing, Communication, Accuracy, and Clinical Decision-Making during High Fidelity Simulation of Neonatal Resuscitation

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Win Boon ◽  
Jennifer McAllister ◽  
Mohammad A. Attar ◽  
Rachel L. Chapman ◽  
Patricia B. Mullan ◽  
...  
Keyword(s):  
Decision Making ◽  
Heart Rate ◽  
Neonatal Intensive Care ◽  
Clinical Decision Making ◽  
Neonatal Resuscitation ◽  
Clinical Decision ◽  
High Fidelity ◽  
High Fidelity Simulation ◽  
Chi Square ◽  
Chi Square Analysis

Objective. Accurate heart rate (HR) determination during neonatal resuscitation (NR) informs subsequent NR actions. This study’s objective was to evaluate HR determination timeliness, communication, and accuracy during high fidelity NR simulations that house officers completed during neonatal intensive care unit (NICU) rotations.Methods. In 2010, house officers in NICU rotations completed high fidelity NR simulation. We reviewed 80 house officers’ videotaped performance on their initial high fidelity simulation session, prior to training and performance debriefing. We calculated the proportion of cases congruent with NR guidelines, using chi square analysis to evaluate performance across HR ranges relevant to NR decision-making: <60, 60–99, and ≥100 beats per minute (bpm).Results. 87% used umbilical cord palpation, 57% initiated HR assessment within 30 seconds, 70% were accurate, and 74% were communicated appropriately. HR determination accuracy varied significantly across HR ranges, with 87%, 57%, and 68% for HR <60, 60–99, and ≥100 bpm, respectively (P<0.001).Conclusions. Timeliness, communication, and accuracy of house officers’ HR determination are suboptimal, particularly for HR 60–100 bpm, which might lead to inappropriate decision-making and NR care. Training implications include emphasizing more accurate HR determination methods, better communication, and improved HR interpretation during NR.

Oxygen saturation and heart rate during delivery room resuscitation of infants <30 weeks' gestation with air or 100% oxygen

2009 ◽  
Vol 94 (2) ◽  
pp. F87-F91 ◽  
Author(s):  
J A Dawson ◽  
C O F Kamlin ◽  
C Wong ◽  
A B te Pas ◽  
C P F O'Donnell ◽  
...  
Keyword(s):  
Heart Rate ◽  
Oxygen Saturation ◽  
Delivery Room
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