Initial ventilation strategies during newborn resuscitation.
Ventilation alone is usually effective in most neonatal resuscitation episodes. A review of the evidence underpinning recommendations for methods and devices for providing initial ventilation during newborn resuscitation was conducted. Self-inflating bags, flow-inflating (anesthesia) bags, and T-piece devices all may be used to provide effective ventilation after birth, with none clearly superior. Whichever method is used, ventilation is likely to be delivered more consistently if a pressure-monitoring device is incorporated. The best indication of successful ventilation is a prompt increase in heart rate. The role of positive end-expiratory pressure during resuscitation requires further research, particularly in preterm infants, in whom it may protect against lung injury.
Stenson
Benjamin J
BJ
Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh, Edinburgh EH16 4SU UK. Ben.stenson@luht.scot.nhs.uk
Boyle
David W
DW
Szyld
Edgardo G
EG
D000818:Animals; D000831:Animals, Newborn; D001238:Asphyxia Neonatorum / Q000628:therapy*; D006801:Humans; D007231:Infant, Newborn; D011175:Positive-Pressure Respiration / Q000295:instrumentation / Q000379:methods*; D012143:Respiratory Physiological Phenomena