Abstract
This technical report describes the creation of a myelomeningocele model of a newborn baby. This is a simple, low-cost, and easy-to-assemble model that allows the medical team to practice the delivery room management of a newborn with myelomeningocele. The report includes scenarios and a suggested checklist with which the model can be employed.
Highlights
Myelomeningocele is a congenital anomaly with an incidence of 2.8/1000 births [1]
Appropriate delivery room care for these newborns is critical for an optimal outcome
Perform oral and nasal suctioning, if needed. ❏ Wrap the lesion with sterile gauze soaked in warm saline (Figure 5). ❏ Cover with dry sterile gauze. ❏ Cover the lesion and abdomen with layers of occlusive plastic wrap. ❏ If positive pressure ventilation and/or intubation is needed, put the baby in the prone position with the simulated lesion placed inside the donut hole (Figure 6). ❏ Support the baby’s head with a fluidized positioner or with the sponge donut center (Figure 7). ❏ Intubate and secure Endotracheal tube (ETT)
Summary
Myelomeningocele is a congenital anomaly with an incidence of 2.8/1000 births [1]. Appropriate delivery room care for these newborns is critical for an optimal outcome. We inserted the three loops filled with water into the slot in the doll’s back, creating the simulated membrane-covered lesion (Figure 3). A smaller or single segment of water-filled collagen sausage casing can be used to simulate different sized or shaped lesions (Figure 4). 2. Place the baby in a side-lying position to avoid pressure on the back lesion. 3. Wrap the lesion in a sterile, saline-soaked gauze with an occlusive plastic wrap. Sample Critical Action Checklist for the Resuscitation of a Baby with Myelomeningocele ❏ Gather and prepare supplies, maintaining a sterile, latex-free environment. ❏ Wrap the lesion with sterile gauze soaked in warm saline (Figure 5). ❏ If positive pressure ventilation and/or intubation is needed, put the baby in the prone position with the simulated lesion placed inside the donut hole (Figure 6). Perform oral and nasal suctioning, if needed. ❏ Wrap the lesion with sterile gauze soaked in warm saline (Figure 5). ❏ Cover with dry sterile gauze. ❏ Cover the lesion and abdomen with layers of occlusive plastic wrap. ❏ If positive pressure ventilation and/or intubation is needed, put the baby in the prone position with the simulated lesion placed inside the donut hole (Figure 6). ❏ Support the baby’s head with a fluidized positioner or with the sponge donut center (Figure 7). ❏ Intubate and secure ETT
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