Journal article

Cardiac arrest with pulseless electrical activity rhythm in newborn infants: a case series

Deandra Luong, Po-Yin Cheung, Keith J Barrington, Peter G Davis, Jennifer Unrau, Shyamala Dakshinamurti, Georg M Schmolzer

Archives of Disease in Childhood - Fetal and Neonatal Edition | BMJ PUBLISHING GROUP | Published : 2019


The 2015 neonatal resuscitation guidelines added ECG to assess an infant's heart rate when determining the need for resuscitation at birth. However, a recent case report raised concerns about this technique in the delivery room. We report four cases of pulseless electrical activity during neonatal cardiopulmonary resuscitation in levels II-III neonatal intensive care units in Canada (Edmonton [n=3] and Winnipeg [n=1]).Healthcare providers should be aware that pulseless electrical activity can occur in newborn infants during cardiopulmonary resuscitation. We propose an adapted neonatal resuscitation algorithm to include pulseless electrical activity. Furthermore, in compromised newborns, hear..

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Awarded by NHMRC Practitioner Fellowship

Funding Acknowledgements

GMS is a recipient of the Heart and Stroke Foundation/University of Alberta Professorship of Neonatal Resuscitation, a National New Investigator of the Heart and Stroke Foundation Canada and an Alberta New Investigator of the Heart and Stroke Foundation Alberta. PGD is supported by an NHMRC Practitioner Fellowship #1059111. This research has been facilitated by the Women and Children's Health Research Institute through the generous support of the Stollery Children's Hospital Foundation.