Highlights of the New Neonatal Resuscitation Program Guidelines
نویسنده
چکیده
In 2015, the neonatal guidelines for resuscitation were published with several new treatment guidelines. Many of these are highlighted in this review. They included changes in the algorithm, timing of cord clamping in the preterm infant, optimizing detection of heart rate after birth, maintaining the premature infant temperature in the delivery room, initiating oxygen use during resuscitation, and using sustained inflation to establish functional residual capacity. In the term infant, changes included management of the nonbreathing infant delivered in the presence of meconium-stained amniotic fluid and consideration for when to continue/discontinue resuscitation in infants with an Apgar score of 0 after 10 minutes of resuscitation. Objectives After completing this article, readers should be able to: 1. Understand the GRADE process for evaluating the science and significance of the recommendations. 2. Understand the rationale behind delayed cord clamping in the premature infant. 3. Understand the starting concentration of supplemental oxygen in the premature infant needing resuscitation. 4. Understand the importance of avoiding moderate hypothermia after birth and the methods of achieving this goal. 5. Understand the suggestive approach to managing the term depressed infant delivered in the presence of meconium-stained amniotic fluid AUTHOR DISCLOSURE Dr Perlman has disclosed no financial relationships relevant to this article. This commentary does contain a discussion of an unapproved/investigative use of a commercial product/device. Vol. 17 No. 8 AUGUST 2016 e435 by Betty Burns on August 26, 2016 http://neoreviews.aappublications.org/ Downloaded from
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