| The development and implementation of a multidisciplinary neonatal resuscitation team in a Canadian perinatal centre. | |
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MedLine Citation:
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PMID: 15993729 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To describe the implementation of a multidisciplinary neonatal resuscitation team (NRT) at a Canadian tertiary perinatal centre. METHODS: In February 2002, the primary role of neonatal resuscitation was transferred from attending physicians (on-call off-site) to a NRT (consisting of a neonatal intensive care nurse, a respiratory therapist, and, when available, a resident, clinical associate (supervised licensed physician), or nurse practitioner). The NRT attended moderate- and high-risk deliveries (in the latter case, accompanied by a neonatologist). Normal, low-risk deliveries remained the responsibility of caseroom (delivery room) staff, assisted by the NRT when concerns arose. A prospective assessment was performed of resuscitation requirements and outcomes. RESULTS:: Over 24 months, the NRT attended 2944 (64.5%) out of 4565 deliveries. The NRT attended 2497 moderate-risk deliveries, providing positive pressure ventilation (in 15.7% of cases), chest compressions (0.1%), and epinephrine (adrenaline) (0.08%). There were no neonatal deaths or morbidities related to resuscitation in this cohort. A small, but significant, proportion of babies with no identifiable risk factors required resuscitation by caseroom staff (in most cases with brief periods of positive pressure ventilation). CONCLUSION: Assignment of level of risk provides a safe means of delivering neonatal resuscitation services, facilitating NRT attendance at the majority of deliveries that required resuscitation. A NRT can perform safely and effectively in a tertiary perinatal centre with off-site support from experienced neonatal staff at high-risk deliveries only. Caseroom (delivery room) staff should continue to be trained in neonatal resuscitation. |
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Authors:
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Khalid Aziz; Mairi Chadwick; Geoff Downton; Mary Baker; Wayne Andrews |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Resuscitation Volume: 66 ISSN: 0300-9572 ISO Abbreviation: Resuscitation Publication Date: 2005 Jul |
Date Detail:
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Created Date: 2005-07-04 Completed Date: 2005-11-10 Revised Date: 2009-08-25 |
Medline Journal Info:
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Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: Ireland |
Other Details:
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Languages: eng Pagination: 45-51 Citation Subset: IM |
Affiliation:
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Discipline of Pediatrics, Faculty of Medicine, Memorial University of Newfoundland, St. John's NL, Canada A1B 3V6. kaziz@mun.ca |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Analysis of Variance Cardiopulmonary Resuscitation / methods, standards Chi-Square Distribution Clinical Competence / standards Delivery Rooms / standards Humans Infant, Newborn Intensive Care Units, Neonatal / standards*, statistics & numerical data Newfoundland and Labrador Patient Care Team / standards* Resuscitation / methods*, standards*, statistics & numerical data |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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