Newborn Resuscitation: Advances in Training and Practice

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Pediatric Neonatology".

Deadline for manuscript submissions: closed (30 November 2021) | Viewed by 13923

Special Issue Editor


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Guest Editor
1. Faculty of Health Sciences, University of Stavanger, 4036 Stavanger, Norway
2. Department of Anaesthesiology and Intensive Care, Stavanger University Hospital, 4011 Stavanger, Norway
Interests: newborn resuscitation; simulation-based education and translation to clinical practice; global health challenges on the day-of-birth
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Special Issue Information

Dear Colleagues,

The day-of-birth carries the highest risk of death during a whole lifetime. Each year, an estimated 1 million newborns die on their first and only day of life. Another 1 million survive with lifelong neurodevelopmental impairment. The majority of these babies could have been saved with appropriate basic newborn resuscitation. About 10% of newborns need urgent and qualified help at birth, but the lifesaving procedure of newborn resuscitation is difficult to master and reported to be inadequately performed around the world. Furthermore, the most effective ventilation modes and techniques remain to be established.

Evidence suggests that implementation of newborn resuscitation training programs improves provider competences and newborn outcomes. However, the optimal time-interval between trainings, and how to effectively learn the practical skill of ventilation, are still unclear. Multi-modal approaches including simulation-based training with emphasis on feedback/debriefing are thought to be most beneficial for learning, and we need more knowledge about efficient strategies to increase implementation of such training in busy healthcare services, transferability to clinical practice and the impact on newborn survival in different settings.

This Special Issue will explore advances in newborn resuscitation training and clinical practice on a global scale.

Prof. Dr. Hege L. Ersdal
Guest Editor

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Keywords

  • newborn resuscitation
  • ventilation techniques
  • novel training strategies
  • simulation-based training
  • deliberate practice
  • implementation of training
  • training frequency and retention of skills
  • translation to clinical practice

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Published Papers (1 paper)

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Review

18 pages, 856 KiB  
Review
Improving Newborn Resuscitation by Making Every Birth a Learning Event
by Kourtney Bettinger, Eric Mafuta, Amy Mackay, Carl Bose, Helge Myklebust, Ingunn Haug, Daniel Ishoso and Jackie Patterson
Children 2021, 8(12), 1194; https://doi.org/10.3390/children8121194 - 16 Dec 2021
Cited by 7 | Viewed by 4543
Abstract
One third of all neonatal deaths are caused by intrapartum-related events, resulting in neonatal respiratory depression (i.e., failure to breathe at birth). Evidence-based resuscitation with stimulation, airway clearance, and positive pressure ventilation reduces mortality from respiratory depression. Improving adherence to evidence-based resuscitation is [...] Read more.
One third of all neonatal deaths are caused by intrapartum-related events, resulting in neonatal respiratory depression (i.e., failure to breathe at birth). Evidence-based resuscitation with stimulation, airway clearance, and positive pressure ventilation reduces mortality from respiratory depression. Improving adherence to evidence-based resuscitation is vital to preventing neonatal deaths caused by respiratory depression. Standard resuscitation training programs, combined with frequent simulation practice, have not reached their life-saving potential due to ongoing gaps in bedside performance. Complex neonatal resuscitations, such as those involving positive pressure ventilation, are relatively uncommon for any given resuscitation provider, making consistent clinical practice an unrealistic solution for improving performance. This review discusses strategies to allow every birth to act as a learning event within the context of both high- and low-resource settings. We review strategies that involve clinical-decision support during newborn resuscitation, including the visual display of a resuscitation algorithm, peer-to-peer support, expert coaching, and automated guidance. We also review strategies that involve post-event reflection after newborn resuscitation, including delivery room checklists, audits, and debriefing. Strategies that make every birth a learning event have the potential to close performance gaps in newborn resuscitation that remain after training and frequent simulation practice, and they should be prioritized for further development and evaluation. Full article
(This article belongs to the Special Issue Newborn Resuscitation: Advances in Training and Practice)
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