TY - JOUR T1 - Highlights from this issue JF - Archives of Disease in Childhood - Fetal and Neonatal Edition JO - Arch Dis Child Fetal Neonatal Ed SP - 571 LP - 571 DO - 10.1136/archdischild-2019-318361 VL - 104 IS - 6 AU - Ben J Stenson Y1 - 2019/11/01 UR - http://fn.bmj.com/content/104/6/571.abstract N2 - Deandra Luong and colleagues report a series of infants where ECG monitoring was used to monitor the heart rate during initial stabilisation after birth and there was no clinically detectable cardiac output despite ECG traces showing heart rates of up to 90 beats per minute. These cases of cardiac arrest with pulseless electrical activity (PEA) rhythm in newborn infants may be more common than previously recognised because immediate ECG recording during neonatal resuscitation has not been in common usage. A study from the same group in asphyxiated piglets with asystole showed PEA in 43%. Although ECG may provide a measure of heart rate more rapidly than a saturation monitor, it should not be relied on in isolation to monitor the response to resuscitation. Initial and ongoing periodic clinical assessment of the circulation by auscultation of the heart rate and palpation of the pulses is still … ER -