Resuscitation of the newly born.
International guidelines developed recommendations in the resuscitation of the new-born: at least one person trained in resuscitation of the newly born should attend every delivery. A minority of the new-borns require active resuscitation to achieve regular respiration, heart rhythm above 100/min, pink colour and adequate tone. Establishment of adequate ventilation should be of primary concern. Most new-borns who require positive-pressure ventilation can be adequately ventilated with a bag and mask. All healthcare providers, who may be asked to deal with an emergency delivery, should master such technique. In case of meconium-stained amniotic fluid, thorough oropharyngeal suctioning should be perform before the delivery of the chest. Tracheal aspiration of mecomium should be perform only in depressed child. Very few infants require chest compressions and much less administration of drugs. Umbilical access remains the most widely recommended access in new-born. Adequate transfer to Neonatal Unit improves outcome.
Johannson
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Paediatric and Neonatal Intensive Care Unit, Hôpital Universitaire des Enfants Reine Fabiola, 15 avenue JJ Crocq, 1020 Brussels, Belgium. dbiarent@ulb.ac.be
Biarent
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D000402:Airway Obstruction / Q000628:therapy; D004358:Drug Therapy; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D007231:Infant, Newborn / Q000502:physiology*; D007234:Infant, Premature; D010102:Oxygen Inhalation Therapy; D012121:Respiration, Artificial; D015656:Respiratory Mechanics / Q000502:physiology; D012151:Resuscitation / Q000941:ethics