Evidence map›Paper›PMID 29804116›Full record

ArticleNeonatology2018

When Helping Babies Breathe Is Not Enough: Designing a Novel, Mid-Level Neonatal Resuscitation Algorithm for Médecins Sans Frontières Field Teams Working in Low-Resource Hospital Settings.

Lisa Umphrey, Morten Breindahl, Alexandra Brown, Ola Didrik Saugstad, Marta Thio, Daniele Trevisanuto, Charles Christoph Roehr, Mats Blennow

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Neonatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Observational
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 7 countries.

Lisa UmphreyMedical Department, Médecins Sans Frontières Operational Centre Paris, Paris, France.
Morten BreindahlDepartment of Neonatology, Karolinska Institutet and University Hospital, Stockholm, Sweden.
Alexandra BrownCommunications Department, Médecins Sans Frontières, Sydney, New South Wales, Australia.
Ola Didrik SaugstadDepartment of Pediatric Research, Oslo University Hospital and University of Oslo, Oslo, Norway.
Marta ThioNewborn Research Centre, The Royal Women's Hospital and University of Melbourne, Melbourne, Victoria, Australia.
Daniele TrevisanutoDepartment of Woman's and Child's Health, University of Padova, Padova, Italy.
Charles Christoph RoehrDepartment of Paediatrics, Newborn Services, John Radcliffe Hospital, Oxford University Hospitals, NHS Foundation Trust, University of Oxford, Oxford, United Kingdom.
Mats BlennowDepartment of Neonatology, Karolinska Institutet and University Hospital, Stockholm, Sweden.
Karolinska University Hospital · SEJohn Radcliffe Hospital · GBMédecins Sans Frontières · FRMédecins Sans Frontières · USOslo University Hospital · NORoyal Women's Hospital · AUUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeonatal resuscitation (NR) combines a set of life-saving interventions in order to stabilize compromised newborns at birth or when critically ill. Médecins Sans Frontières/Doctors Without Borders (MSF), as an international medical-humanitarian organization working particularly in low-resource settings (LRS), assisted over 250,000 births in obstetric and newborn care aid projects in 2016 and provides thousands of newborn resuscitations annually. The Helping Babies Breathe (HBB) program has been used as formal guidance for basic resuscitation since 2012. However, in some MSF projects with the capacity to provide more advanced NR interventions but a lack of adapted guidance, staff have felt prompted to create their own advanced algorithms, which runs counter to the organization's aim for standardized protocols in all aspects of its care.

objectivesThe aim is to close a significant gap in neonatal care provision in LRS by establishing consensus on a protocol that would guide MSF field teams in their practice of more advanced NR.

methodsAn independent committee of international experts was formed and met regularly from June 2016 to agree on the content and design of a new NR algorithm.

resultsConsensus was reached on a novel, mid-level NR algorithm in April 2017. The algorithm was accepted for use by MSF Operational Center Paris.

conclusionThis paper contributes to the literature on decision-making in the development of cognitive aids. The authors also highlight how critical gaps in healthcare delivery in LRS can be addressed, even when there is limited evidence to guide the process.

Indexed as

Medical MissionsAlgorithmsAsphyxia NeonatorumClinical CompetenceDeveloping CountriesHumansInfant, NewbornInservice TrainingPractice Guidelines as TopicResuscitationAlgorithmBag-and-mask ventilationFlowchartGuidelineLow-resource settingNewbornResuscitation

Identifiers

PMID29804116
PMCPMC6159832
OpenAlexW2803678399

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.