RESUMO
This 2019 focused update to the American Heart Association neonatal resuscitation guidelines is based on 2 evidence reviews recently completed under the direction of the International Liaison Committee on Resuscitation Neonatal Life Support Task Force. The International Liaison Committee on Resuscitation Expert Systematic Reviewer and content experts performed comprehensive reviews of the scientific literature on the appropriate initial oxygen concentration for use during neonatal resuscitation in 2 groups: term and late-preterm newborns (≥35 weeks of gestation) and preterm newborns (<35 weeks of gestation). This article summarizes those evidence reviews and presents recommendations. The recommendations for neonatal resuscitation are as follows: In term and late-preterm newborns (≥35 weeks of gestation) receiving respiratory support at birth, the initial use of 21% oxygen is reasonable. One hundred percent oxygen should not be used to initiate resuscitation because it is associated with excess mortality. In preterm newborns (<35 weeks of gestation) receiving respiratory support at birth, it may be reasonable to begin with 21% to 30% oxygen and to base subsequent oxygen titration on oxygen saturation targets. These guidelines require no change in the Neonatal Resuscitation Algorithm-2015 Update.
Assuntos
American Heart Association , Reanimação Cardiopulmonar , Serviços Médicos de Emergência/métodos , Oxigenoterapia/métodos , Humanos , Recém-Nascido , Recém-Nascido Prematuro , Estados UnidosRESUMO
This 2019 focused update to the American Heart Association neonatal resuscitation guidelines is based on 2 evidence reviews recently completed under the direction of the International Liaison Committee on Resuscitation Neonatal Life Support Task Force. The International Liaison Committee on Resuscitation Expert Systematic Reviewer and content experts performed comprehensive reviews of the scientific literature on the appropriate initial oxygen concentration for use during neonatal resuscitation in 2 groups: term and late-preterm newborns (≥35 weeks of gestation) and preterm newborns (<35 weeks of gestation). This article summarizes those evidence reviews and presents recommendations. The recommendations for neonatal resuscitation are as follows: In term and late-preterm newborns (≥35 weeks of gestation) receiving respiratory support at birth, the initial use of 21% oxygen is reasonable. One hundred percent oxygen should not be used to initiate resuscitation because it is associated with excess mortality. In preterm newborns (<35 weeks of gestation) receiving respiratory support at birth, it may be reasonable to begin with 21% to 30% oxygen and to base subsequent oxygen titration on oxygen saturation targets. These guidelines require no change in the Neonatal Resuscitation Algorithm-2015 Update.
Assuntos
Reanimação Cardiopulmonar/normas , Serviços Médicos de Emergência/normas , Guias como Assunto , Parada Cardíaca Extra-Hospitalar/terapia , American Heart Association , Serviço Hospitalar de Emergência/normas , Tratamento de Emergência/normas , Humanos , Parada Cardíaca Extra-Hospitalar/mortalidade , Estados UnidosRESUMO
The Neonatal Resuscitation Program meets the education and training needs of health care professionals in the United States who manage newborns in hospitals. The Neonatal Resuscitation Program 7th edition materials were required for use on January 1, 2017. The Neonatal Resuscitation Program focuses on optimal resuscitation readiness and effective communication. This article briefly describes the preparation and principles of newborn resuscitation and selected components of the Neonatal Resuscitation Program Flow Diagram. Five resuscitation scenarios of increasing complexity are used to illustrate how the guidelines are integrated into clinical practice.
