New cardiopulmonary resuscitation guidelines 2010: managing the newly born in delivery room.
Most newborns are born vigorous and do not require neonatal resuscitation. However, about 10% of newborns require some type of resuscitative assistance at birth. Although the vast majority will require just assisted lung aeration, about 1% requires major interventions such as intubation, chest compressions, or medications. Recently, new evidence has prompted modifications in the international cardiopulmonary resuscitation (CPR) guidelines for both neonatal, paediatric and adult patients. Perinatal and neonatal health care providers must be aware of these changes in order to provide the most appropriate and evidence-based emergency interventions for newborns in the delivery room. The aim of this article is to provide an overview of the main recommended changes in neonatal resuscitation at birth, according to the publication of the international Liaison Committee on Resuscitation (ILCOR) in the CoSTR document (based on evidence of sciences) and the new 2010 guidelines released by the European Resuscitation Council (ERC), the American Heart Association (AHA), and the American Academy of Pediatrics (AAP).
Neonatal and Paediatric Intensive Care Unit. Major City Hospital, Verona, Italy. paolo.biban@ospedaleuniverona.it
Paolo
P
Biban
Boris
B
Filipovic-Grcic
Dominique
D
Biarent
Paolo
P
Manzoni
D000328:Adult; D016887:Cardiopulmonary Resuscitation / Q000379:methods* / Q000592:standards; D035641:Chest Wall Oscillation / Q000379:methods; D003696:Delivery Rooms / Q000331:legislation & jurisprudence / Q000458:organization & administration / Q000592:standards; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000628:therapy*; D007442:Intubation, Intratracheal / Q000379:methods; D010102:Oxygen Inhalation Therapy / Q000379:methods; D011247:Pregnancy; D012121:Respiration, Artificial / Q000379:methods; D012127:Respiratory Distress Syndrome, Newborn / Q000628:therapy*; D016414:Resuscitation Orders / Q000331:legislation & jurisprudence