[Delivery room resuscitation with room air and oxygen in newborns. State of art, recommendations].
The authors present and discuss the current data, concerning delivery room resuscitation with oxygen and room air in neonates. On the ground of the results obtained from literature and the Polish National Survey on Paediatric and Neonatal Intensive Care, 2007/2008 issue, the authors give the following proposals regarding optimal oxygen treatment: 1. there is a need for optimizing tissue oxygenation in order to prevent injury caused by radical oxygen species; 2. newborn resuscitation should be monitored by measuring the haemoglobin saturation - the values above 90%, found in resuscitated newborn within the first minutes of life may be dangerous and cause tissue injury; 3. starting the resuscitation with oxygen concentration lower than 40% and adjusting it according to the effects of the procedure - the less mature infant the lower oxygen concentration at the beginning of resuscitation; 4. heart rate >100/min and SatO2Hb between 70-80% within the first minutes of life should not be an indication for increasing oxygen concentration.
Lauterbach
Ryszard
R
Klinika Neonatologii Uniwersytetu Jagiellońskiego Collegium Medicum, 31-501 Kraków. ryszard@lauterbach.pl
Musialik-Swietlińska
Ewa
E
Swietliński
Janusz
J
Pawlik
Dorota
D
Bober
Klaudiusz
K
D000328:Adult; D003696:Delivery Rooms; D005260:Female; D006306:Health Surveys; D006801:Humans; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal / Q000379:methods*; D008991:Monitoring, Physiologic / Q000379:methods; D010100:Oxygen / Q000008:administration & dosage*; D011044:Poland; D011247:Pregnancy; D012151:Resuscitation / Q000379:methods*
D010100:Oxygen