Clinical Scorecard: Challenges in Implementing Respiratory Function Monitors for Neonatal Resuscitation

At a Glance

Key Highlights

• RFMs may reduce brain injury and intraventricular hemorrhage when used alongside clinical assessment.
• Major resuscitation bodies have not recommended routine use of RFMs due to insufficient evidence.
• Educational interventions have shown promise in improving clinician comfort and competence with RFMs.
• Interface design of RFMs is crucial for effective use during time-critical resuscitation.
• Development of RFMs faces challenges in translating clinician needs into viable commercial products.

Guideline-Based Recommendations

Diagnosis

Management

• RFMs may be used where equipment and skills are available, according to the European Resuscitation Council.

Monitoring & Follow-up

Risks

• Insufficient training in waveform interpretation and uncertainty about incorporating RFM data into decision-making.

Patient & Prescribing Data

Preterm infants requiring resuscitation.

Structured preparation and training may enhance effective use of RFMs.

Clinical Best Practices

• Periodic refresher education may be necessary to maintain competency in RFM use.
• Interface design should prioritize rapid interpretation of data during resuscitation.

Related Resources & Content

• International Liaison Committee on Resuscitation 2025 Guidelines
• European Resuscitation Council Guidelines