Acute cardiac care & resuscitation
Newborn resuscitation timelines: Accurately capturing treatment in the delivery room
Authors' conclusion
Newborn resuscitation timelines can graphically present accurate, time-sensitive and complex data from resuscitations synchronised in time.
Study context
- Population
- Newborns ≥28 weeks' gestation receiving positive pressure ventilation at birth, Stavanger University Hospital, Norway, June 2019–November 2021resuscitation captured on video
- Participants
- 182 newborns
- Outcome
- Incidence, sequence, timing, duration of and response to resuscitative interventions, assessed by newborn resuscitation timelines
Methodological detailssingle-centre, video recordings, dry-electrode ECG heart rate monitoring, Parents consented antenatally
- Single-centre
- Video recordings
- Dry-electrode ECG heart rate monitoring
- Parents consented antenatally
Main finding
As reported in the abstract
Resuscitative interventions (timelines)
- Received PPV (of 7466 newborns ≥28 weeks)
- 289 (3.9%)
- Apnoeic at start of PPV
- Two-thirds
- Breathing ineffectively at start of PPV
- one-third
- Time from birth to start of PPV, median (quartiles)
- 72 (44, 141) seconds
- Duration of PPV, median (quartiles)
- 135 (68, 236) seconds
- Ventilation fraction (proportion of time from first to last inflation with PPV)
- 85%
- Most frequent causes of ventilation interruption
- mask repositioning and auscultation
- Suctioning performed
- 35%
- Suctioning after initiation of PPV
- 95%
- PPV within 60 s of birth, apnoeic newborns
- 49%
- PPV within 60 s of birth, ineffectively breathing newborns
- 12%
Observational data: associations, not effects.
Original publication
Newborn resuscitation timelines: Accurately capturing treatment in the delivery room. Resuscitation. Published 27 February 2024. doi:10.
Summarised from the published abstract; every number is checked against it