title: Cardiorespiratory Monitoring during Neonatal Resuscitation for Direct Feedback and Audit.
abstract: Neonatal resuscitation is one of the most frequently performed procedures, and it is often successful if the ventilation applied is adequate. Over the last decade, interest in seeking objectivity in evaluating the infant's condition at birth or the adequacy and effect of the interventions applied has markedly increased. Clinical parameters such as heart rate, color, and chest excursions are difficult to interpret and can be very subjective and subtle. The use of ECG, pulse oximetry, capnography, and respiratory function monitoring can add objectivity to the clinical assessment. These physiological parameters, with or without the combination of video recordings, can not only be used directly to guide care but also be used later for audit and teaching purposes. Further studies are needed to investigate whether this will improve the quality of delivery room management. In this narrative review, we will give an update of the current developments in monitoring neonatal resuscitation.
authors.affiliation: Division of Neonatology, Department of Pediatrics, Leiden University Medical Center , Leiden , Netherlands.
authors.forename: Jeroen J
authors.initials: JJ
authors.lastname: van Vonderen
authors.affiliation: Division of Neonatology, Department of Pediatrics, Leiden University Medical Center , Leiden , Netherlands.
authors.forename: Henriëtte A
authors.initials: HA
authors.lastname: van Zanten
authors.affiliation: Division of Neonatology, Department of Pediatrics, Leiden University Medical Center , Leiden , Netherlands.
authors.forename: Kim
authors.initials: K
authors.lastname: Schilleman
authors.affiliation: Ritchie Centre, Hudson Institute of Medical Research, Melbourne, VIC, Australia; Department of Obstetrics and Gynaecology, Monash University, Melbourne, VIC, Australia.
authors.forename: Stuart B
authors.initials: SB
authors.lastname: Hooper
authors.affiliation: School of Physics and Astronomy, Monash University , Melbourne, VIC , Australia.
authors.forename: Marcus J
authors.initials: MJ
authors.lastname: Kitchen
authors.affiliation: Division of Neonatology, Department of Pediatrics, Leiden University Medical Center , Leiden , Netherlands.
authors.forename: Ruben S G M
authors.initials: RS
authors.lastname: Witlox
authors.affiliation: Division of Neonatology, Department of Pediatrics, Leiden University Medical Center , Leiden , Netherlands.
authors.forename: Arjan B
authors.initials: AB
authors.lastname: Te Pas
keywords: ECG; neonate; pulse oximetry; respiratory function monitor; resuscitation; video