This is true and at first can be quite surprising. You might be more used to no crying when you are using the alternative airway of the endotracheal tube.

I wanted to give a behind the scenes view and "show my work" so to speak. Glad you enjoyed it.

I'm looking forward to releasing it. I have more work to go.

There is another trial ongoing looking at prophylactic CPAP in late preterm population called the PLANT trial. We are not a part of this, but it may add more evidence once it is complete and published. However, we have fully implemented the algorithm shown. We do not track as closely as done in the trials so hard to know if NICU admissions have been reduced. But, we have not seen any increase in pneumothoraces in this population.

Thanks for watching! I agree with you. However, I do know other neonatologists that do prefer the blade in the valecula. I am not aware of any evidence to say one method is absolutely better than the other. You will notice in my intubation on the mannequin the blade is lifting up the epiglottis. Only in the short video clip and picture to show the anatomy is the blade in the valecula. This video was not intended to be an in depth instructional video on how to intubate. It more goes over the equipment and measures used in neonatal resuscitation.

Thank you. Please check out the newer version here: kzbin.info/www/bejne/mGWngJqKlLmoqcksi=vZrm5S1jAVphBKoP Or this version that focuses on initial steps and ventilation: kzbin.info/www/bejne/faG4eoGCZdJqraMsi=p2oUd3bVAYyJd7Pn

Thank you. Please check out the newer version here: kzbin.info/www/bejne/mGWngJqKlLmoqcksi=vZrm5S1jAVphBKoP Or this version that focuses on initial steps and ventilation: kzbin.info/www/bejne/faG4eoGCZdJqraMsi=p2oUd3bVAYyJd7Pn

Thank you. I'm glad it helped! Hope my others are just as helpful.

Thank you.

Thank you. Hope you find many useful videos on my channel.

Was gonna ask the same, I was told you shouldn’t do that because it can cut off the airway. But im not sure

We’re taught sniffing position in NRP

the neutral position and the sniffing position are similar terms. Sorry if this caused any confusion.

The neutral position and sniffing position are interchangeable terms to me. I am sorry if this caused any confusion. Hyper extension of the neck or too much flexion can, indeed, obstruct the airway.

You are welcome to use this video. Glad you can use it

You are welcome

I am glad you liked it. Extra thanks to your lecturer who recommended my channel and videos.

Glad you liked it. Please share with others you know that will find it helpful, too.

Thank you for watching video 1 in our 3 part video series on how to perform neonatal resuscitation. Hope you have watched all 3 and please share.

It is always a good idea to map out roles you will have and be specific about which role will do which task. Even small changes like this can be helpful. Thanks for watching and commenting. Please watch the other videos in the series and share.

Thank you

You're welcome. Hope you watch more videos on my channel and enjoy them as well.

High praise. Thank you very much.

UAC placement is a very important skill in neonatology. It is just not one we use in resuscitations (emergency UVC is covered in another video). Good luck.

You are welcome. Share with those you think will learn from them too.

Glad you like it. Hope you find all my videos on this channel useful

de nada.

Yes. Colorimetric capnography can be used on a mask too. It has been shown to demonstrate ventilation several seconds before heart rate increases. It can direct the efforts of MRSOPA. This is demonstrated in Video 1 of the series. Check it out too!

You are welcome! Please share with others that you think will benefit.

The LMA does not go into the vocal cords, so the baby can actually cry with an LMA in place. It will be muffled by the LMA, but still able to cry just like if a facemark was held over the mouth. Great question and thank you for watching. Please share with those that can benefit from this tutorial.

@@natetexsun Thank you

You are welcome. I hope you enjoy all the videos on my channel.

Thanks. Check out the newer version here: kzbin.info/www/bejne/mGWngJqKlLmoqck

You are welcome! Please enjoy the newer version: kzbin.info/www/bejne/mGWngJqKlLmoqck

Thank you so much for watching. Please share with other learners that you think will like them like you.

Thank you. I hope you had the chance to watch all 3 in this series.

Thank you.

Great ideas! Thank you.

Point of Care Ultrasound (POCUS) is an interesting idea for this. I don't have any experience using this and I am unaware of any studies or trials using this technique. Thanks for watching. Please share with your friends and colleagues.

That discussion happens long before the delivery. Present the evidence. Get buy in from both sides. I view it as handing over the initial steps to the OB team, so I coach them through the whole minute reminding them of when to stimulate, when to back off the suctioning, gentle handling, etc. They have expressed great appreciation that I am watching over their shoulder for that minute. But if the baby remains apneic and poor tone after about 30 seconds, I let them know to clamp at that time. The biggest gains from DCC are probably when the baby breathes before the clamping, but not all babies allow that. Thanks for all your great comments.

Definitely! Studies haven't made any choice better than another yet. I use atropine and fentanyl. I see many other choices in the literature. But some procedural sedation is a must in my book.

Great ideas. I do cover suctioning on episode 2 here: kzbin.info/www/bejne/o3iooKaarbt1qrc And I try to demonstrate patients in our small baby resuscitation video here: kzbin.info/www/bejne/kGmrhGOPeNmfY8k Thank you for watching and your comments

Positive feedback like this is so kind and encouraging. I'm glad you enjoy my videos. Yes, please share with those you know.

Thank you for watching. This video accurately depicts the teaching from the Neonatal Resuscitation Program (NRP) 7th edition and is still very accurate for 8th edition (with a few changes). 100% oxygen is not an initial strategy in NRP anymore. 100% oxygen is used when chest compressions are being delivered or if guided by the saturations of the baby we have to titrate that high to get our saturations in the target range. I hope this video was helpful to you.

I think that is all too common. Not sure if it will help, but in episode 2, kzbin.info/www/bejne/o3iooKaarbt1qrc I describe when to suction in general (not just specific to meconium). The wipe trial showed that just a quick wipe of the mouth with a cloth was better than bulb suctioning. Instead of trying to stop a practice you don't like - bulb suction before PPV - maybe try to get them to replace that with another - wipe the mouth before PPV.

I'm so glad you found it helpful.

Often the meconium is too thick and will not pass a smaller catheter. I have seen the meconium not even pass the ETT and come out as a glob on the end of the ETT as I pulled it out. Even if a catheter is used, I would be concerned if it causes meconium to line the wall of the ETT. Better to get a clean ETT in after suctioning meconium.