Delayed and Interrupted Ventilation with Excess Suctioning after Helping Babies Breathe with Congolese Birth Attendants

Datos Bibliográficos

ID15713463
AutoresJackie K Patterson (0000-0002-3330-7872, University of North Carolina at Chapel Hill, autor de correspondencia), Daniel Katuashi Ishoso (0000-0001-9392-1316, Laerdal (Norway)), Joar Eilevstjønn (0000-0002-4607-2689, University of North Carolina at Chapel Hill), Melissa Bauserman (0000-0002-4992-9895, University of North Carolina at Chapel Hill), Ingunn Haug (0000-0001-5697-8006, RTI International), Pooja Iyer (0000-0001-8558-6773, American Academy of Pediatrics), Beena D Kamath‐Rayne (0000-0002-8482-4802, American Academy of Pediatrics), Adrien Lokangaka (0000-0002-8609-5877, American Academy of Pediatrics), Casey Lowman (American Academy of Pediatrics), Eric Mafuta (0000-0001-7986-4618, Laerdal (Norway)), Helge Myklebust (0000-0001-8834-0744, RTI International), Tracy Nolen (RTI International, Research Triangle Park, Durham, NC 27709, USA), Tracy L Nolen (0000-0003-2512-343X, American Academy of Pediatrics), Janna Patterson (0000-0001-6275-4017, University of North Carolina at Chapel Hill, autor de correspondencia), Carl Bose (University of North Carolina at Chapel Hill), Antoinette Tshefu (0000-0001-7657-6901, University of Washington), Carl L Bose (0000-0002-8727-8640, University of North Carolina at Chapel Hill), Sara K Berkelhamer (0000-0001-8301-2290, University of Washington)
Año2023
Volumen10
Número4
Páginas652-652
Fecha de publicación2023-03-30
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaChildren (JOURNAL)
Identificadores de la revistaISSN: 2227-9067 • E-ISSN: 2227-9067
EditorialMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/children10040652
PMID37189901
OpenAlexW4361274106
IdiomaEN
Citas recibidas3
Referencias citadas36

There is a substantial gap in our understanding of resuscitation practices following Helping Babies Breathe (HBB) training. We sought to address this gap through an analysis of observed resuscitations following HBB 2nd edition training in the Democratic Republic of the Congo. This is a secondary analysis of a clinical trial evaluating the effect of resuscitation training and electronic heart rate monitoring on stillbirths. We included in-born, liveborn neonates ≥28 weeks gestation whose resuscitation care was directly observed and documented. For the 2592 births observed, providers dried/stimulated before suctioning in 97% of cases and suctioned before ventilating in 100%. Only 19.7% of newborns not breathing well by 60 s (s) after birth ever received ventilation. Providers initiated ventilation at a median 347 s (>five minutes) after birth; no cases were initiated within the Golden Minute. During 81 resuscitations involving ventilation, stimulation and suction both delayed and interrupted ventilation with a median 132 s spent drying/stimulating and 98 s suctioning. This study demonstrates that HBB-trained providers followed the correct order of resuscitation steps. Providers frequently failed to initiate ventilation. When ventilation was initiated, it was delayed and interrupted by stimulation and suctioning. Innovative strategies targeting early and continuous ventilation are needed to maximize the impact of HBB

Anesthesia · Intensive care medicine · Neonatal resuscitation · Resuscitation · Suction · Ventilation (architecture · Global Maternal and Child Health · Infant Development and Preterm Care · Medicine · Neonatal Respiratory Health Research · Emergency Medicine · Pediatrics