Law Brenda Hiu Yan, Cheung Po-Yin, Aziz Khalid, Schmölzer Georg M
Centre for the Studies of Asphyxia and Resuscitation, Royal Alexandra Hospital, Edmonton, AB, Canada.
Department of Pediatrics, University of Alberta, Edmonton, AB, Canada.
Front Pediatr. 2020 Aug 18;8:478. doi: 10.3389/fped.2020.00478. eCollection 2020.
Adaptations have been proposed for resuscitation of infants born to women with COVID-19, to protect health care providers, maintain infection control, and limit post-natal transmission. Changes especially impact respiratory procedures, personal protective equipment (PPE) use, resuscitation environments, teamwork, and family involvement. Adding viral filters to ventilation devices and modifications to intubation procedures might hinder effective ventilation. PPE could delay resuscitation, hinder task performance, and degrade communication. Changes to resuscitation locations and team composition alter workflow and teamwork. Physical distancing measures and PPE impede family-integrated care. These disruptions need to be considered given the uncertainty of vertical transmission of SARS-CoV-2.
针对感染新冠病毒的产妇所生婴儿的复苏，已提出了一些调整措施，以保护医护人员、维持感染控制并限制产后传播。这些变化尤其影响呼吸程序、个人防护装备（PPE）的使用、复苏环境、团队协作以及家属参与。在通气设备上添加病毒过滤器和对插管程序进行修改可能会妨碍有效通气。个人防护装备可能会延迟复苏、妨碍任务执行并影响沟通。复苏地点和团队组成的改变会改变工作流程和团队协作。物理距离措施和个人防护装备会妨碍家庭综合护理。鉴于新冠病毒垂直传播的不确定性，需要考虑这些干扰因素。
