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Record W2040038617 · doi:10.1542/neo.13-6-e364

Improving Assessment During Noninvasive Ventilation in the Delivery Room

2012· article· en· W2040038617 on OpenAlex
Gianluca Lista, Georg M. Schmölzer, Colm P. O’Donnell

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueNeoReviews · 2012
Typearticle
Languageen
FieldMedicine
TopicNeonatal Respiratory Health Research
Canadian institutionsRoyal Alexandra Hospital
Fundersnot available
KeywordsMedicineVentilation (architecture)Neonatal resuscitationEndotracheal tubeIntubationEndotracheal intubationResuscitationAirwayNoninvasive ventilationIntensive care medicineCapnographyAirway managementAnesthesiaMechanical ventilation

Abstract

fetched live from OpenAlex

The efficacy of mask ventilation has traditionally been judged by evaluating clinical signs alone (eg, assessment of heart rate, chest movements, skin color), which can be misleading. Despite the recent introduction of extended noninvasive monitoring, neonatal resuscitation remains challenging. This article discusses the current evidence on clinical assessment and monitoring during noninvasive mask ventilation in the delivery room. Potential pitfalls during mask ventilation are discussed, which may be identified with structured neonatal resuscitation courses, video recording, or extended physiological monitoring. Successful placement of a correctly positioned endotracheal tube by junior medical staff is <50%, and accidental esophageal intubation is common. Clinical signs are subjective and can be misleading, and recognition of esophageal placement of the endotracheal tube, by using clinical assessment alone, can take up to several minutes. Because carbon dioxide is exhaled at much higher concentrations than inhaled, it can be detected with semiquantitative colorimetric devices, or devices that display numeric or graphic values. In the section on carbon dioxide detectors, the current evidence (along with limitations) concerning these devices is discussed.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.928
Threshold uncertainty score0.270

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.073
GPT teacher head0.407
Teacher spread0.334 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it