Careful use of humidifier during mechanical ventilation or CPAP .
ET position have to be checked whenever there is drop in oxygen saturation.
Notification errors between obstetric and resuscitation team are among commonest reported errors during the last six months.
Debriefing of neonatal resuscitation has to be done to improve neonatal outcome ,use score sheet for the auditing process for coherent valid audit is adviced.
Observing pressure /volume loop can decrease the occurrence of pneumothorax
During pulmonary graphics monitoring : jagging of the waves or loops might indicate need for suction
HD accounts for 20 to 25 % of the cases of neonatal bowel obstruction .Plain radiographs of the abdomen do not allow differentiation of small bowel obstruction from large bowel obstruction. To avoid delayed diagnosis of the case ,a plain X-ray of the abdomen should be done before any attempt at rectal examination, which can be followed by an explosive release of stool and gas.Rectal examination can alter the classic appearance of a ‘cone’ on barium enema and it should be delayed for a day if a rectal examination has been done.Folys catheter showed also be adjusted .
The temperature of the humidifier used for any CPAP or MV have to recorded in the observation sheet at least every 2 hours .
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Always perform abdominal x ray to detect such serious issues