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Children, Volume 6, Issue 11 (November 2019)
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Cover Story (view full-size image) The International Liaison Committee on Resuscitation (ILCOR) recommends the initiation of chest [...] Read more. The International Liaison Committee on Resuscitation (ILCOR) recommends the initiation of chest compressions during neonatal resuscitation after 30 s of effective ventilation if the infant remains bradycardic (defined as a heart rate less than 60 bpm). Ventilation of the lungs is the key step during neonatal resuscitation, improving gas exchange and enhancing cerebral and cardiac blood flow by changes in intrathoracic pressure. The chest compressions are performed during bradycardia to optimize organ perfusion, especially to the heart and brain. Compressing the chest 90 times per minute without synchrony with innate cardiac activity during neonatal bradycardia is not based on evidence. The benefit/harm of performing asynchronous chest compressions during bradycardia as part of neonatal resuscitation remains unknown. View this paper.