Newborn resuscitation guideline revisions

Resuscitation of the newborn.

Effective resuscitation of the newborn requires knowledge of the cause of depression. Four major causes are trauma, asphyxia, medication, and malformation. More than one of these may contribute to depression in a single infant. The first principles of resuscitation are to avoid cooling the infant and to establish an airway. Infants with an Apgar score of 3 to 4 at one minute usually need bag-an...

Resuscitation of the depressed newborn.

The role of the nurse anesthetist as a member of the obstetrical team can be manifold. Not only are we available to assist the obstetrician in providing anesthesia to the mother for the delivery, but often we also are asked to assist in resuscitative procedures for an infant who is expectedly or unexpectedly depressed at birth. The purpose of this article is to review some causes of infant depr...

Resuscitation after Cardiac Surgery: An Evidence-Based Guideline Resuscitation after cardiac surgery: an Evidence-based Guideline

Newborn Resuscitation: Meconium Aspiration Syndrome

At present time, delivery room management of babies born through Meconium stained amniotic fluid (MSAF) often includes suctioning of the mouth and nose before the delivery of the shoulders. This addresses the concern that babies will inhale meconium present in the upper airway with their first breath putting them at risk of MAS. The rationale of routine perineal suctioning of all babies born th...

Epinephrine Use during Newborn Resuscitation

Epinephrine use in the delivery room for resuscitation of the newborn is associated with significant morbidity and mortality. Evidence for optimal dose, timing, and route of administration of epinephrine during neonatal resuscitation comes largely from extrapolated adult or animal literature. In this review, we provide the current recommendations for use of epinephrine during neonatal resuscita...