Effect of COVID-19 Precautions on Neonatal Resuscitation Practice: A Balance Between Healthcare Provider Safety, Infection Control, and Effective Neonatal Care

Adaptations have been proposed for resuscitation of infants born to women with COVID-19, to protect health care providers, maintain infection control, and limit post-natal transmission. Changes especially impact respiratory procedures, personal protective equipment (PPE) use, resuscitation environme...

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Main Authors: Brenda Hiu Yan Law, Po-Yin Cheung, Khalid Aziz, Georg M. Schmölzer
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-08-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fped.2020.00478/full
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spelling doaj-42138578b16c4006bf2a785d867a4ebb2020-11-25T03:41:11ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602020-08-01810.3389/fped.2020.00478566012Effect of COVID-19 Precautions on Neonatal Resuscitation Practice: A Balance Between Healthcare Provider Safety, Infection Control, and Effective Neonatal CareBrenda Hiu Yan Law0Brenda Hiu Yan Law1Po-Yin Cheung2Po-Yin Cheung3Khalid Aziz4Khalid Aziz5Georg M. Schmölzer6Georg M. Schmölzer7Centre for the Studies of Asphyxia and Resuscitation, Royal Alexandra Hospital, Edmonton, AB, CanadaDepartment of Pediatrics, University of Alberta, Edmonton, AB, CanadaCentre for the Studies of Asphyxia and Resuscitation, Royal Alexandra Hospital, Edmonton, AB, CanadaDepartment of Pediatrics, University of Alberta, Edmonton, AB, CanadaCentre for the Studies of Asphyxia and Resuscitation, Royal Alexandra Hospital, Edmonton, AB, CanadaDepartment of Pediatrics, University of Alberta, Edmonton, AB, CanadaCentre for the Studies of Asphyxia and Resuscitation, Royal Alexandra Hospital, Edmonton, AB, CanadaDepartment of Pediatrics, University of Alberta, Edmonton, AB, CanadaAdaptations have been proposed for resuscitation of infants born to women with COVID-19, to protect health care providers, maintain infection control, and limit post-natal transmission. Changes especially impact respiratory procedures, personal protective equipment (PPE) use, resuscitation environments, teamwork, and family involvement. Adding viral filters to ventilation devices and modifications to intubation procedures might hinder effective ventilation. PPE could delay resuscitation, hinder task performance, and degrade communication. Changes to resuscitation locations and team composition alter workflow and teamwork. Physical distancing measures and PPE impede family-integrated care. These disruptions need to be considered given the uncertainty of vertical transmission of SARS-CoV-2.https://www.frontiersin.org/article/10.3389/fped.2020.00478/fullinfantsnewborndelivery roomneonatal resuscitationCOVID-19
collection DOAJ
language English
format Article
sources DOAJ
author Brenda Hiu Yan Law
Brenda Hiu Yan Law
Po-Yin Cheung
Po-Yin Cheung
Khalid Aziz
Khalid Aziz
Georg M. Schmölzer
Georg M. Schmölzer
spellingShingle Brenda Hiu Yan Law
Brenda Hiu Yan Law
Po-Yin Cheung
Po-Yin Cheung
Khalid Aziz
Khalid Aziz
Georg M. Schmölzer
Georg M. Schmölzer
Effect of COVID-19 Precautions on Neonatal Resuscitation Practice: A Balance Between Healthcare Provider Safety, Infection Control, and Effective Neonatal Care
Frontiers in Pediatrics
infants
newborn
delivery room
neonatal resuscitation
COVID-19
author_facet Brenda Hiu Yan Law
Brenda Hiu Yan Law
Po-Yin Cheung
Po-Yin Cheung
Khalid Aziz
Khalid Aziz
Georg M. Schmölzer
Georg M. Schmölzer
author_sort Brenda Hiu Yan Law
title Effect of COVID-19 Precautions on Neonatal Resuscitation Practice: A Balance Between Healthcare Provider Safety, Infection Control, and Effective Neonatal Care
title_short Effect of COVID-19 Precautions on Neonatal Resuscitation Practice: A Balance Between Healthcare Provider Safety, Infection Control, and Effective Neonatal Care
title_full Effect of COVID-19 Precautions on Neonatal Resuscitation Practice: A Balance Between Healthcare Provider Safety, Infection Control, and Effective Neonatal Care
title_fullStr Effect of COVID-19 Precautions on Neonatal Resuscitation Practice: A Balance Between Healthcare Provider Safety, Infection Control, and Effective Neonatal Care
title_full_unstemmed Effect of COVID-19 Precautions on Neonatal Resuscitation Practice: A Balance Between Healthcare Provider Safety, Infection Control, and Effective Neonatal Care
title_sort effect of covid-19 precautions on neonatal resuscitation practice: a balance between healthcare provider safety, infection control, and effective neonatal care
publisher Frontiers Media S.A.
series Frontiers in Pediatrics
issn 2296-2360
publishDate 2020-08-01
description Adaptations have been proposed for resuscitation of infants born to women with COVID-19, to protect health care providers, maintain infection control, and limit post-natal transmission. Changes especially impact respiratory procedures, personal protective equipment (PPE) use, resuscitation environments, teamwork, and family involvement. Adding viral filters to ventilation devices and modifications to intubation procedures might hinder effective ventilation. PPE could delay resuscitation, hinder task performance, and degrade communication. Changes to resuscitation locations and team composition alter workflow and teamwork. Physical distancing measures and PPE impede family-integrated care. These disruptions need to be considered given the uncertainty of vertical transmission of SARS-CoV-2.
topic infants
newborn
delivery room
neonatal resuscitation
COVID-19
url https://www.frontiersin.org/article/10.3389/fped.2020.00478/full
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