Many common care practices during labor, birth, and the immediate postpartum period impact the fetal to neonatal transition, including medication used during labor, suctioning protocols, strategies to prevent heat loss, umbilical cord clamping, and use of 100% oxygen for resuscitation. Many of the care practices used to assess and manage a newborn immediately after birth have not proven efficac...

Extended endotracheal intubation in infancy causes various complications. Upper airway disruption is very rare but reversible cause of respiratory insufficiency. Tracheostomy may not be avoidable severe upper tract lesions especially large subglottic cysts and stenosis; however, avoiding it a priority when possible. A 7-month-old child who had history newborn distress syndrome extended develope...

C understand the importance of cognitive management in dealing with stressful scenarios. Abstract Failed intubation in obstetrics is rare. However, if the situation is not managed appropriately the consequences for the mother and newborn may be catastrophic. The skill of managing the airway seems to be decreasing, primarily because the skills are not being practised in general or obstetric anae...

Introduction: Upper airway distress associated with craniofacial anomaly has been reported widely. An antenatal scan of should alert the attending team to prepare for respiratory in any neonate following delivery. Additionally, a stepwise algorithm is imperative manage difficult children anomalies. Aim: To outline case newborn anomaly. Case study: A premature neonate, born at 36 weeks, was refe...

BACKGROUND: Patient safety is the core of quality health care. Newborn infants who are admitted to NICU liable adverse events. Medical errors represent a serious public problem and pose threat patient safety. Mechanical ventilation complex procedure that exposes newborn events complications. AIM: The objective this study was identify medical related mechanical (MV) in using newly design MV trig...

BACKGROUND Bilateral pulmonary agenesis is a rare congenital anomaly incompatible with life that can be missed on routine prenatal screening. Prenatal ultrasound diagnosis of this fatal anomaly can aid in prenatal counseling and postdelivery care. CASE STUDY We report the case of a newborn who was born prematurely at 29 weeks gestation and underwent several unsuccessful intubation attempts im...

A blunt‑tipped red rubber catheter is used to confirm the presence of esophageal atresia in any newborn with drooling of saliva and frothing from the mouth. Failure to pass it beyond 10cms into the esophagus is considered diagnostic. We here in report an extremely rare case of broken tip of red rubber catheter lodged in the laryngopharynx of 2-day-old neonate of esophageal atresia with distal t...

A 5 day old male newborn delivered at 40 weeks gestation by emergency C-section due to fetal distress with Apgar scores of 5 and 6, at 1 and 5 minutes respectively, was noted to be hypotonic at birth with joint contractures. He required resuscitation and endotracheal intubation due to apnea at birth. On day 4 of life he developed tonic seizures and was treated with the anticonvulsant, phenobarb...

INDIAN PEDIATRICS 1211 VOLUME 40DECEMBER17, 2003 randomizing infants to CPAP or intubation, the primary outcome being the incidence of Chronic Lung Disease. What would be of interest is to identify variables, which will help recognize babies likely to fail trial of CPAP, so that ventilation could be initiated in them straight away. Arvind Sehgal, Jacqueline Stack, Department of Newborn Care, Li...

BACKGROUND This section is under preparation and will be included in the next issue. OBJECTIVES The purpose of the review was to compare the complications associated with intubation by the nasal route with those associated with intubation by the oral route for mechanical ventilation in newborn infants. SEARCH STRATEGY The standard search strategy of the Neonatal Review Group as outlined in ...