Scientific Program

About Raktima Chakrabarti
Scientific Sessions

Raktima Chakrabarti

The Pediatric Clinic, India

Biography:

Raktima Chakrabarti is a neonatologist and paediatrician in India. She is practising in Gurgaon, Haryana, India. She has done her medical graduation and post graduation in paediatrics from renowned universities of India and after that her carrier became enriched with the European university hospital’s experience in neonatology. Her expertise is in Neonatology and paediatrics and her main focus is the respiratory and gastrointestinal problems of newborns, specifically the preterm newborns. She has taken parts in multiple studies and published numerous research reports in eminent journals. She also authored multiple nenatology text books. She is in the reviewer panel of numbers of eminent pediatric journal.

Abstract

Most infants adapt well after birth to extra-uterine life without any active resuscitation. 85% infants breathe spontaneously, a further 10% respond after drying, temperature maintenance, stimulation, and airway opening maneuvers. Only 5 % neonates receive positive pressure ventilation. Only 0.2-4 % babies need to be intubated at the time of birth. Less than 0.3 % babies need chest compression and only 0.05% babies need adrenaline.

For a successful resuscitation a well orchestrated team is required containing well trained nurse and neonatologist with proper preparation of equipment is required. . 1). As a guide,

• Personnel competent in newborn life support should be available for every delivery.

• If intervention is required, there should be personnel available whose sole responsibility is to care for the infant.

• A process should be in place for rapidly mobilising a team with sufficient resuscitation skills for any birth specifically where risk factors are present.

There are some rent changes in the guidelines of resuscitation:

• Delayed cord clamping

• Special care for infants with meconium stained liqor, specifically who are non vigorous

• If facemask is not useful and intubation is difficult, there is a role of laryngeal mask airway

• Gradual increase of inflation pressure has a role in initiation of respiration where airway is open.

• There is a role of air/oxygen in preterm delivery

• 100% oxygen is required with chest compression

• Intraosseus route has a role in emergency access of medicines and fluid

• Adrenaline and 10% dextrose are important medicines in the resuscitation kit

• Failure to respond despite 10 20 mins of intensive resuscitation is associated with high risk of poor outcome.

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