Jump to content

Preterm Childbirth Redefined.


Arctickat

Recommended Posts

Who chewed out the resident? My guess would be someone that doesn't understand the current knowledge about the pathophysiology of ROP. It is good practice not to blow oxygen into the eyes as it can dry them out and babies don't know how to deal with it.

Link to comment
Share on other sites

The NICU nurse... I'm going to read up on it even though it's pretty irrelevant where I'm working now. It happened during my L&D rotation last year. I knew too much oxygen wasn't good but not that much about the link between oxygen and ROP, just to not over oxygenate a baby, but if they're blue and whatnot then yeah they need oxygen.

Link to comment
Share on other sites

ROP primarily pertains to "premature" infants and abnormal eye vessels to which prolonged hyperoxgenation can be an issue. For a full resuscitation or a term infant this will not be an immediate issue.

The chewing out of the resident might have been due to not following the current guidelines from NRP which may have been instituted in that L&D. The gestational age will also play a role as to which oxygen pathway to follow as will hx for CHD, fetal monitoring, the delivery and of course presentation. If a resident is to be present for resuscitation in L&D they need to already know the basic protocols. Blue initially does not indicate oxygen immediately. It depends on where they are blue , tone, hr and respiratory effort after stimulation. The pulse ox is also a guide now where as before it was the APGAR score components.

Edited by iStater
Link to comment
Share on other sites

Interesting. We weren't allowed to do much with the newborns if the NICU team was called in, only the healthy ones. NICU is something that used to interest me but now have little interest in it or L&D, but think it's a pretty cool specialty.

Link to comment
Share on other sites

ROP primarily pertains to "premature" infants and abnormal eye vessels to which prolonged hyperoxgenation can be an issue. For a full resuscitation or a term infant this will not be an immediate issue.

The chewing out of the resident might have been due to not following the current guidelines from NRP which may have been instituted in that L&D. The gestational age will also play a role as to which oxygen pathway to follow as will hx for CHD, fetal monitoring, the delivery and of course presentation. If a resident is to be present for resuscitation in L&D they need to already know the basic protocols. Blue initially does not indicate oxygen immediately. It depends on where they are blue , tone, hr and respiratory effort after stimulation. The pulse ox is also a guide now where as before it was the APGAR score components.

Or it could be the resident was trying to practice medicine while the nurse was following a protocol.

Link to comment
Share on other sites

This thread is quite old. Please consider starting a new thread rather than reviving this one.

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

×
×
  • Create New...