Novel Approaches to Neonatal Resuscitation and the Impact on Birth Asphyxia

Arjan B. Te Pas, Kristina Sobotka, Stuart B. Hooper

Research output: Contribution to journalReview ArticleOtherpeer-review

5 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)455-467
Number of pages13
JournalClinics in Perinatology
Volume43
Issue number3
DOIs
Publication statusPublished - 1 Sep 2016

Keywords

  • Asphyxia
  • Cardiac compressions
  • Cord clamping
  • Oxygen
  • Resuscitation
  • Sustained inflation

Cite this