Since ancient times many different methods have been used to revive newborns. Although subject to the vagaries of fashion for 2000 years, artificial respiration has been accepted as the mainstay of neonatal resuscitation for about the last 40. Formal teaching programmes have evolved over the last 20 years. The last 10 years have seen international collaboration, which has resulted in careful ev...

OBJECTIVES To audit the knowledge and application of internationally recommended newborn resuscitation (NR) guidelines among delivery room (DR) caregivers of Spanish hospitals. METHODS A questionnaire-type survey on NR equipment and practices was performed in hospitals of the Spanish National Health System classified according to level of care provided. RESULTS 88% of the questionnaires wer...

The European Resuscitation Council has produced these newborn life support guidelines, which are based on the International Liaison Committee (ILCOR) 2020 Consensus Science and Treatment Recommendations (CoSTR) for Neonatal Life Support. guidelines cover management of term preterm infant. topics covered include an algorithm to aid a logical approach resuscitation newborn, factors before deliver...

BACKGROUND Ventilation during neonatal resuscitation is typically initiated with a face mask, but may be ineffective due to leak or obstruction. OBJECTIVE To compare leak using three methods of mask hold. METHODS Medical and nursing staff regularly involved in neonatal resuscitation used the three holds (two-point, two-handed, spider) on a manikin in a random order to apply positive pressur...

AIM To assess the efficacy and feasibility of implementing Helping Babies Breathe, a neonatal resuscitation programme for resource-limited environments. BACKGROUND This quality improvement project focused on training midwives on Helping Babies Breathe to address high rates of neonatal mortality secondary to birth asphyxia. METHODS The convenience sample was 33 midwives in Zanzibar, Tanzania...

We report a case of a preterm neonate with isolated spontaneous pneumopericardium occurring in the absence of a history of neonatal resuscitation, mechanical ventilation, major lung disease or another air leak. The pneumopericardium was asymptomatic and resolved without the need for aspiration, although the "nitrogen washout" technique was used.

OBJECTIVES Helping Babies Breathe is an evidence-based curriculum designed to teach basic neonatal resuscitation in low-resource countries. The purpose of this study was to evaluate the acquisition of knowledge and skills following this training and correlation of learner characteristics to performance in a Spanish-speaking setting. METHODS Thirty-one physicians and 39 nurses completed Helpin...

Advance preparation of oxytocin not only facilitates rapid administration after delivery to prevent postpartum hemorrhage but also could free health workers to provide immediate neonatal resuscitation to non-breathing newborns within the critical 1-minute time window.

If the endotracheal route is to be used for administration of epinephrine, the limited available evidence suggests that the currently recommended dose of 0.01 mg/kg is likely to be too low to be effective. Given the paucity of high-quality clinical data regarding endotracheal epinephrine, the intravenous route should be used as soon as venous access is established. Given the complete lack of cl...