期刊
CLINICS IN PERINATOLOGY
卷 43, 期 3, 页码 455-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.clp.2016.04.005
关键词
Asphyxia; Resuscitation; Sustained inflation; Oxygen; Cord clamping; Cardiac compressions
资金
- NICHD NIH HHS [R01 HD072848] Funding Source: Medline
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.
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