Mende Sarah, Ahmed Syed, DeShea Lise, Szyld Edgardo, Shah Birju A
Department of Pediatrics, College of Medicine, University of Oklahoma (OU), Oklahoma City, OK 73104, USA.
Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
Children (Basel). 2024 Jun 4;11(6):685. doi: 10.3390/children11060685.
Approximately 10% of newborns require assistance at delivery, and heart rate (HR) is the primary vital sign providers use to guide resuscitation methods. In 2016, the American Heart Association (AHA) suggested electrocardiogram in the delivery room (DR-ECG) to measure heart rate during resuscitation. This study aimed to compare the frequency of resuscitation methods used before and after implementation of the AHA recommendations.
This longitudinal retrospective cohort study compared a pre-implementation (2015) cohort with two post-implementation cohorts (2017, 2021) at our Level IV neonatal intensive care unit.
An initial increase in chest compressions at birth associated with the introduction of DR-ECG monitoring was mitigated by focused educational interventions on effective ventilation. Implementation was accompanied by no changes in neonatal mortality.
Investigation of neonatal outcomes during the ongoing incorporation of DR-ECG may help our understanding of human and system factors, identify ways to optimize resuscitation team performance, and assess the impact of targeted training initiatives on clinical outcomes.
约10%的新生儿在分娩时需要协助，心率（HR）是医护人员用于指导复苏方法的主要生命体征。2016年，美国心脏协会（AHA）建议在产房使用心电图（DR-ECG）来测量复苏期间的心率。本研究旨在比较AHA建议实施前后使用的复苏方法的频率。
这项纵向回顾性队列研究将我们四级新生儿重症监护病房实施前（2015年）的队列与实施后的两个队列（2017年、2021年）进行了比较。
通过针对有效通气的重点教育干预，减轻了因引入DR-ECG监测而导致的出生时胸外按压的最初增加。实施过程中新生儿死亡率没有变化。
在持续引入DR-ECG的过程中对新生儿结局进行调查，可能有助于我们理解人为因素和系统因素，确定优化复苏团队表现的方法，并评估针对性培训举措对临床结局的影响。
