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Dr Carolyn McKune(May 15 2025 6:00AM):
I'm sorry if this is an ignorant comment, but all the recommendations here are based on our literature review? I was quite surprised at this C:V ratio, and that atropine is no longer advised even as a single dose for resuscitation.
[Edited]
Dr Manuel Boller(May 15 2025 12:15PM):
Hi Carolyn, thanks for your comment. It is best to check on the worksheets to learn more about the background for the items on the algorithm.
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Hi Carolyn, thanks for your contribution as evidence evaluator. Yes, all these boxes are based on the search strategies created by the information specialists, the summary of findings tables based on the evidence evaluators work, the worksheets that were build on the summary of findings tables, the worksheet reviews by Domain Chairs and RECOVER Co-chairs and then a consensus process including subject matter experts. Please check the respective worksheets to learn more about what each element in the algorithm is based on. For that I recommend to navigate to the overview file, so you know which PICO question concerns things such as C:V ratio and atropine. You can then navigate to the respective worksheet. There are 2 for atropine (one for treatment of bradycardia at birth and one for transitional newborns during CPR). There is also one worksheet that reviews the evidence on compression:ventilation ratio during CPR of transitional newborn puppies and kittens. To my knowledge, atropine was never advised for this population (newborns at birth), in contrast to adult CPR in dogs and cats where its use is suggested with vagal etiology of CPA.
Dr Carolyn McKune(May 15 2025 6:05AM):
A face mask is not recommended at this point? Again, I'm so sorry; it was a while ago when we did this review and I want to make sure this is abiding by evidenced based recommendations to our greatest extent
Dr Manuel Boller(May 15 2025 12:19PM):
Hi Carolyn, I am not sure to which part of the algorithm your comment applies. But please check the respective worksheets for full summary of the evidence and justification for recommendations. Warm regards, Manu
Dr Neus Elias(May 22 2025 10:42AM):
This is probably silly but the guidelines are called for "puppies and kittens" so maybe this is how it should also be on the algorithm rather than dogs and cats?
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This is probably silly but the guidelines are called for “puppies and kittens” so maybe this is how it should also be on the algorithm rather than dogs and cats? May also make it more distinguishable in hospitals where both the adult and the newborn are displayed?
Dr Manuel Boller(May 14 2025 4:46PM):
Thanks for this comment. Yes, we will do this in the figure legend in the publication. I hope that users will otherwise be familiarized with the abbreviations as it takes otherwise a lot of space on the algorithm itself.
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-C:V: Compression to ventilation ratio (see worksheet NB-13)
-PPV: Positive Pressure Ventilation (NB-06, NB-01, NB-05)
-CPR: Cardiopulmonary resuscitation
-GV: Governing Vessel
-RR: Respiratory rate
-IV: intravenous
-IO: intraosseous
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Hi Carolyn, thanks for your contribution as evidence evaluator. Yes, all these boxes are based on the search strategies created by the information specialists, the summary of findings tables based on the evidence evaluators work, the worksheets that were build on the summary of findings tables, the worksheet reviews by Domain Chairs and RECOVER Co-chairs and then a consensus process including subject matter experts. Please check the respective worksheets to learn more about what each element in the algorithm is based on. For that I recommend to navigate to the overview file, so you know which PICO question concerns things such as C:V ratio and atropine. You can then navigate to the respective worksheet. There are 2 for atropine (one for treatment of bradycardia at birth and one for transitional newborns during CPR). There is also one worksheet that reviews the evidence on compression:ventilation ratio during CPR of transitional newborn puppies and kittens. To my knowledge, atropine was never advised for this population (newborns at birth), in contrast to adult CPR in dogs and cats where its use is suggested with vagal etiology of CPA.
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This is probably silly but the guidelines are called for “puppies and kittens” so maybe this is how it should also be on the algorithm rather than dogs and cats? May also make it more distinguishable in hospitals where both the adult and the newborn are displayed?
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-C:V: Compression to ventilation ratio (see worksheet NB-13)
-PPV: Positive Pressure Ventilation (NB-06, NB-01, NB-05)
-CPR: Cardiopulmonary resuscitation
-GV: Governing Vessel
-RR: Respiratory rate
-IV: intravenous
-IO: intraosseous
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