Novel Approaches to Neonatal Resuscitation and the Impact on Birth Asphyxia

• Historically, recommendations for neonatal resuscitation were largely based on dogma, but there is renewed interest in performing resuscitation studies at birth. The emphasis for resuscitation following birth asphyxia is administering effective ventilation, as adequate lung aeration leads not only to an increase in oxygenation but also increased pulmonary blood flow and heart rate. To aerate the lung, an initial sustained inflation can increase heart rate, oxygenation, and blood pressure recovery much faster when compared with standard ventilation. Hyperoxia should be avoided, and extra oxygen given to restore cardiac function and spontaneous breathing should be titrated based on oxygen saturations.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)

MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)

Keyword

Asphyxia

Resuscitation

Sustained inflation

Oxygen

Cord clamping

Cardiac compressions

functional residual capacity

initial sustained inflation

cardiopulmonary-resuscitation

chest compressions

100-percent oxygen

delivery-room

controlled-trial

newborn-infants

preterm infants

lung-inflation

Obstetrics & Gynecology

Pediatrics

Publication and Content Type

ref (subject category)

art (subject category)