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  1. Article ; Online: Reply to: Differences in intubators' visual attention during neonatal endotracheal intubation.

    Law, Brenda H / Schmölzer, Georg M

    Resuscitation

    2020  Volume 156, Page(s) 279

    MeSH term(s) Attention ; Eye-Tracking Technology ; Humans ; Infant, Newborn ; Intubation, Intratracheal/adverse effects ; Trachea
    Language English
    Publishing date 2020-08-24
    Publishing country Ireland
    Document type Letter ; Comment
    ZDB-ID 189901-6
    ISSN 1873-1570 ; 0300-9572
    ISSN (online) 1873-1570
    ISSN 0300-9572
    DOI 10.1016/j.resuscitation.2020.08.015
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  2. Article: Assessment of Healthcare Provider Workload in Neonatal Resuscitation.

    Zehnder, Emily C / Law, Brenda H Y / Schmölzer, Georg M

    Frontiers in pediatrics

    2020  Volume 8, Page(s) 598475

    Abstract: Objective: ...

    Abstract Objective:
    Language English
    Publishing date 2020-12-22
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2711999-3
    ISSN 2296-2360
    ISSN 2296-2360
    DOI 10.3389/fped.2020.598475
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  3. Article: A preterm infant with hematuria.

    Roeper, Rhiana / Massicotte, Patti / AlAbbas, Abdullah / Law, Brenda H

    Paediatrics & child health

    2020  Volume 26, Issue 7, Page(s) 388–389

    Language English
    Publishing date 2020-12-05
    Publishing country England
    Document type Case Reports
    ZDB-ID 2106767-3
    ISSN 1918-1485 ; 1205-7088
    ISSN (online) 1918-1485
    ISSN 1205-7088
    DOI 10.1093/pch/pxaa115
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  4. Article ; Online: Table-top exercises to prepare for neonatal resuscitation in the Era of COVID-19.

    Law, Brenda H / Cheung, Po-Yin / Skelding, Shelley / Schmölzer, Georg M

    Resuscitation

    2020  Volume 151, Page(s) 85–86

    MeSH term(s) Betacoronavirus ; COVID-19 ; Cardiopulmonary Resuscitation/methods ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Delivery Rooms/organization & administration ; Disease Transmission, Infectious/prevention & control ; Female ; Humans ; Intensive Care Units, Neonatal/organization & administration ; Male ; Organizational Innovation ; Pandemics/prevention & control ; Patient Safety ; Patient Transfer/organization & administration ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Pregnancy ; Program Development ; Risk Assessment ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-04-28
    Publishing country Ireland
    Document type Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 189901-6
    ISSN 1873-1570 ; 0300-9572
    ISSN (online) 1873-1570
    ISSN 0300-9572
    DOI 10.1016/j.resuscitation.2020.04.027
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  5. Article: An Opportunity for Cognitive Task Analysis in Neonatal Resuscitation.

    Zehnder, Emily C / Law, Brenda H Y / Schmölzer, Georg M

    Frontiers in pediatrics

    2019  Volume 7, Page(s) 356

    Abstract: Approximately 10% of newborn infants require resuscitative intervention at birth. Ideally, this care is provided by a team of expert healthcare professionals who possess exceptional cognitive, psychomotor, and communication skills. Human errors and ... ...

    Abstract Approximately 10% of newborn infants require resuscitative intervention at birth. Ideally, this care is provided by a team of expert healthcare professionals who possess exceptional cognitive, psychomotor, and communication skills. Human errors and deviations from resuscitation protocol are common and may be attributable to excessive cognitive demand experienced by the resuscitation team. Cognitive Task Analysis (CTA) is a group of methods used to assess knowledge, judgments, goals, and decision-making of expert healthcare professionals. These methods may be used during neonatal resuscitation to gain an improved understanding of the approaches used by healthcare professionals. CTA methods have been applied in many medical disciplines including neonatology. CTA has been used to identify information previously confined to the intuition of experts. This information has been used to assess, develop, and improve medical technology, clinical decision support tools (DSTs), communication structure, and training methods. Knowledge attained through CTA might be applied similarly to neonatal resuscitation, which may in turn decrease human errors, and improve patient safety.
    Language English
    Publishing date 2019-08-27
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2711999-3
    ISSN 2296-2360
    ISSN 2296-2360
    DOI 10.3389/fped.2019.00356
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  6. Article ; Online: Does the use of higher versus lower oxygen concentration improve neurodevelopmental outcomes at 18-24 months in very low birthweight infants?

    Schmölzer, Georg M / Asztalos, Elizabeth V / Beltempo, Marc / Boix, Hector / Dempsey, Eugene / El-Naggar, Walid / Finer, Neil N / Hudson, Jo-Anna / Mukerji, Amit / Law, Brenda H Y / Yaskina, Maryna / Shah, Prakesh S / Sheta, Ayman / Soraisham, Amuchou / Tarnow-Mordi, William / Vento, Max

    Trials

    2024  Volume 25, Issue 1, Page(s) 237

    Abstract: Background: Immediately after birth, the oxygen saturation is between 30 and 50%, which then increases to 85-95% within the first 10 min. Over the last 10 years, recommendations regarding the ideal level of the initial fraction of inspired oxygen (FiO!## ...

    Abstract Background: Immediately after birth, the oxygen saturation is between 30 and 50%, which then increases to 85-95% within the first 10 min. Over the last 10 years, recommendations regarding the ideal level of the initial fraction of inspired oxygen (FiO
    Methods: An international cluster, cross-over randomized trial of initial FiO
    Discussion: The use of supplementary oxygen may be crucial but also potentially detrimental to preterm infants at birth. The HiLo trial is powered for the primary outcome and will address gaps in the evidence due to its pragmatic and inclusive design, targeting all extremely preterm infants. Should 60% initial oxygen concertation increase survival free of major neurodevelopmental outcomes at 18-24 months corrected age, without severe adverse effects, this readily available intervention could be introduced immediately into clinical practice.
    Trial registration: The trial was registered on January 31, 2019, at ClinicalTrials.gov with the Identifier: NCT03825835.
    MeSH term(s) Infant ; Infant, Newborn ; Humans ; Resuscitation/adverse effects ; Infant, Very Low Birth Weight ; Infant, Extremely Premature ; Oxygen ; Gestational Age
    Chemical Substances Oxygen (S88TT14065)
    Language English
    Publishing date 2024-04-04
    Publishing country England
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 2040523-6
    ISSN 1745-6215 ; 1468-6694 ; 1745-6215
    ISSN (online) 1745-6215
    ISSN 1468-6694 ; 1745-6215
    DOI 10.1186/s13063-024-08080-2
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  7. Article ; Online: Using eye-tracking augmented cognitive task analysis to explore healthcare professionals' cognition during neonatal resuscitation.

    Zehnder, Emily C / Schmölzer, Georg M / van Manen, Michael / Law, Brenda H Y

    Resuscitation plus

    2021  Volume 6, Page(s) 100119

    Abstract: Aim: We aimed to describe the cognitive processes of healthcare providers participating as airway leads in delivery room neonatal resuscitations using eye-tracking assisted debriefing to facilitate recall and provide situational context.: Methods: ... ...

    Abstract Aim: We aimed to describe the cognitive processes of healthcare providers participating as airway leads in delivery room neonatal resuscitations using eye-tracking assisted debriefing to facilitate recall and provide situational context.
    Methods: Delivery room neonatal resuscitations were recorded using eye-tracking glasses worn by participants who acted as airway leads. These glasses analyze eye-movements to produce an audio-visual recording approximating what was "seen" by the participant and marking their visual attention. Participants then reviewed and debriefed their recordings. Debriefing involved a retrospective think-aloud prompted by eye-tracked recordings and an integrated semi-structured interview. Debriefing sessions were transcribed and subjected to thematic analysis.
    Results: Eight healthcare providers participated in 10 interviews; two providers participated twice in two separate resuscitations. Most visual attention was directed at the infant (62%), with 16% directed to monitors/gauges, 3% to team members. Five major themes emerged including situation awareness, performance, working in teams, addressing threats to performance, and perception of eye-tracking. Information processing was complex and involved top-down and bottom-up processing of environmental stimuli, integration of knowledge/experience, and anticipation of patient response. Despite the focus on individual cognition, interpersonal interactions and teamwork emerged as key aspects of resuscitation performance. Potential threats to performance include equipment issues, mental stress, distractions, and parental presence. Eye-tracking recordings were well-received by the participants.
    Conclusion: Retrospective think-aloud prompted by point-of-view eye-tracked recordings is a useful means of examining cognition of healthcare providers during neonatal resuscitation. Themes identified in this project aligned with existing models of clinical reasoning.
    Language English
    Publishing date 2021-04-12
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2666-5204
    ISSN (online) 2666-5204
    DOI 10.1016/j.resplu.2021.100119
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  9. Article ; Online: Call to action: prioritizing delivery room care for neonates with critical congenital heart disease.

    Thomas, Alyssa R / Levy, Philip T / Donofrio, Mary T / Law, Brenda / Joynt, Chloe / Gupta, Ruby / Elshenawy, Summer / Reed, Danielle / Pavlek, Leeann R / Shepherd, Jennifer / Gowda, Sharada H / Johnson, Beth Ann / Abdulhayoglu, Elisa / Valencia, Eleonore / Guseh, Stephanie / Ball, Molly K / Ali, Noorjahan

    Journal of perinatology : official journal of the California Perinatal Association

    2023  Volume 44, Issue 3, Page(s) 321–324

    MeSH term(s) Infant, Newborn ; Pregnancy ; Humans ; Female ; Delivery Rooms ; Heart Defects, Congenital/therapy
    Language English
    Publishing date 2023-11-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 645021-0
    ISSN 1476-5543 ; 0743-8346
    ISSN (online) 1476-5543
    ISSN 0743-8346
    DOI 10.1038/s41372-023-01828-9
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    Zs.A 2412: Show issues Location:
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  10. Article ; Online: Tracheostomies in term and preterm infants: A single-center Canadian retrospective cohort.

    Wong, Chung-Kwun / Harris, Lucy / Hicks, Matthew / Majaesic, Carina / Schellenberg, Cathy / Kumaran, Kumar / Law, Brenda H Y

    Pediatric pulmonology

    2022  Volume 57, Issue 4, Page(s) 991–999

    Abstract: Objective: To examine patient characteristics, hospital course, and medical outcomes of neonatal tracheostomy at a single center.: Design: Retrospective cohort study.: Setting: Level III neonatal intensive care units (NICUs) in Edmonton, Canada.!## ...

    Abstract Objective: To examine patient characteristics, hospital course, and medical outcomes of neonatal tracheostomy at a single center.
    Design: Retrospective cohort study.
    Setting: Level III neonatal intensive care units (NICUs) in Edmonton, Canada.
    Patients: Infants admitted to NICU who underwent tracheostomy between January 2013 and December 2017 inclusive.
    Main outcome measures: Hospital course, discharge, and 3-year post-tracheostomy outcomes were compared between preterm infants <29 weeks gestation and infants with congenital anomalies.
    Results: Forty-three infants were identified; seven were lost to follow-up and excluded. Of the 36 analyzed, 86% survived to discharge. At discharge, 13% were decannulated, 36% required no mechanical ventilation, and 52% required mechanical ventilation. Median hospitalization was 295 days. At 3 years post-tracheostomy, 97% were alive. Proportions of infants with tracheostomy in situ was 80%, 73%, and 60% at 1, 2, and 3 years post tracheostomy. Tracheostomy incidence was 2.7% for preterm infants <29 weeks gestational age with 55% for subglottic stenosis. All preterm infants received postnatal steroids. Preterm infants underwent tracheostomy at later chronological age (123 vs. 81 days, p < 0.001), but similar corrected gestational age (42 + 5 vs. 51 + 2 weeks, p = 0.095). Preterm infants had more intubation attempts (17 vs. 4, p < 0.001), total extubations (8 vs. 2, p < 0.001), and days on ventilation before tracheostomy (100 vs. 78, p < 0.001).
    Conclusions: Infants who underwent tracheostomy in a Canadian public healthcare setting demonstrated decreasing tracheostomy dependence and high survival post tracheostomy, despite prolonged hospitalization. Preterm infants had more intubation and extubation events which may have contributed to airway injury.
    MeSH term(s) Bronchopulmonary Dysplasia/epidemiology ; Canada/epidemiology ; Cohort Studies ; Gestational Age ; Humans ; Infant ; Infant, Newborn ; Infant, Premature ; Intensive Care Units, Neonatal ; Retrospective Studies ; Tracheostomy
    Language English
    Publishing date 2022-02-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632784-9
    ISSN 1099-0496 ; 8755-6863
    ISSN (online) 1099-0496
    ISSN 8755-6863
    DOI 10.1002/ppul.25823
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