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Chest Compressions in the Delivery Room

1
Faculty of Science, University of Alberta, Edmonton, AB T5H 3V9, Canada
2
Centre for the Studies of Asphyxia and Resuscitation, Neonatal Research Unit, Royal Alexandra Hospital, Edmonton, AB T5H 3V9, Canada
3
Department of Pediatrics, University of Alberta, Edmonton, AB T5H 3V9, Canada
*
Author to whom correspondence should be addressed.
Children 2019, 6(1), 4; https://doi.org/10.3390/children6010004
Received: 1 October 2018 / Revised: 18 December 2018 / Accepted: 26 December 2018 / Published: 3 January 2019
(This article belongs to the Special Issue Emerging Concepts in Neonatal Resuscitation)
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PDF [282 KB, uploaded 4 January 2019]

Abstract

Annually, an estimated 13–26 million newborns need respiratory support and 2–3 million newborns need extensive resuscitation, defined as chest compression and 100% oxygen with or without epinephrine in the delivery room. Despite such care, there is a high incidence of mortality and neurologic morbidity. The poor prognosis associated with receiving chest compression alone or with medications in the delivery room raises questions as to whether improved cardiopulmonary resuscitation methods specifically tailored to the newborn could improve outcomes. This review discusses the current recommendations, mode of action, different compression to ventilation ratios, continuous chest compression with asynchronous ventilations, chest compression and sustained inflation optimal depth, and oxygen concentration during cardiopulmonary resuscitation. View Full-Text
Keywords: infants; newborn; neonatal resuscitation; chest compressions; delivery room infants; newborn; neonatal resuscitation; chest compressions; delivery room
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Garcia-Hidalgo, C.; Schmölzer, G.M. Chest Compressions in the Delivery Room. Children 2019, 6, 4.

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