One large retrospective review found that 0.04% of newborns received volume resuscitation in the delivery room, confirming that it is a relatively uncommon event. Similarly, meta-analysis of 2 quasi-randomized trials showed no difference in moderate-to-severe neurodevelopmental impairment at 1 to 3 years of age. Before using epinephrine, tell your doctor if any past use of epinephrine injection caused an allergic reaction to get worse. 2020;142(suppl 2):S524S550. Tactile stimulation should be limited to drying an infant and rubbing the back and soles of the feet.21,22 There may be some benefit from repeated tactile stimulation in preterm babies during or after providing PPV, but this requires further study.23 If, at initial assessment, there is visible fluid obstructing the airway or a concern about obstructed breathing, the mouth and nose may be suctioned. In the resuscitation of an infant, initial oxygen concentration of 21 percent is recommended. When providing chest compressions to a newborn, the 2 thumbencircling hands technique may have benefit over the 2-finger technique with respect to blood pressure generation and provider fatigue. It may be reasonable to use higher concentrations of oxygen during chest compressions. The potential benefit or harm of sustained inflations between 1 and 10 seconds is uncertain.2,29. In a retrospective review, early hypoglycemia was a risk factor for brain injury in infants with acidemia requiring resuscitation. minutes, and 80% at 5 minutes of life. . Flush the UVC with normal saline. PDF Neonatal Resuscitation Program 8th Edition Algorithm Post-resuscitation care. Current resuscitation guidelines recommend that epinephrine should be used if the newborn remains bradycardic with heart rate <60 bpm after 30 s of what appears to be effective ventilation with chest rise, followed by 30 s of coordinated chest compressions and ventilations (1, 8, 9).
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