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Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Li, ES; Cheung, PY; Pichler, G; Aziz, K; Schmölzer, GM.
Respiratory function and near infrared spectroscopy recording during cardiopulmonary resuscitation in an extremely preterm newborn.
Neonatology. 2014; 105(3):200-204
Doi: 10.1159/000357609
(- Case Report)
Web of Science
PubMed
FullText
FullText_MUG
- Leading authors Med Uni Graz
- Schmölzer Georg
- Co-authors Med Uni Graz
- Pichler Gerhard
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- Abstract:
- We describe a case highlighting several controversial and important topics regarding neonatal cardiopulmonary resuscitation (CPR). Current neonatal guidelines recommend a 3:1 compression:ventilation ratio; however, the most effective ratio of delivering chest compressions (CC) remains controversial. We report a case of a male infant at 24 weeks' postmenstrual age weighing 650 g on a background of preterm labor. At initial assessment the infant appeared floppy and apneic with a heart rate (HR) of 50-60 beats/min. Mask ventilation was ineffective, thus continuous CC (90/min) with asynchronous ventilations (60/min) was started. HR, blood pressure, oxygen saturation, cerebral oxygenation, respiratory function, and exhaled carbon dioxide (ECO2) were continuously measured during CPR. Return of spontaneous circulation defined as HR >60/min was achieved after 90 s of CPR. Mask leak significantly increased during CC. During bradycardia (HR ∼50/min), ECO2 indicated correct tube placement and an increase of ECO2 >12 mm Hg was associated with rapid increase in HR >60/min. © 2014 S. Karger AG, Basel.
- Find related publications in this database (using NLM MeSH Indexing)
- Asphyxia Neonatorum - blood
- Asphyxia Neonatorum - diagnosis
- Asphyxia Neonatorum - physiopathology
- Asphyxia Neonatorum - therapy
- Biomarkers - blood
- Breath Tests -
- Carbon Dioxide - metabolism
- Cardiopulmonary Resuscitation - adverse effects
- Cerebrovascular Circulation -
- Exhalation -
- Gestational Age -
- Hemodynamics -
- Humans -
- Infant, Extremely Premature -
- Infant, Newborn -
- Lung - physiopathology
- Male -
- Oximetry - methods
- Oxygen - blood
- Predictive Value of Tests -
- Respiration, Artificial -
- Spectroscopy, Near-Infrared -
- Treatment Outcome -
- Find related publications in this database (Keywords)
- Infants
- Newborn
- Delivery room
- Neonatal resuscitation
- Chest compression