title: [Resuscitation of newborn infants].
abstract: Successful resuscitation of newborn infants depends on adequate preparation, exact evaluation and prompt initiation of support according to the recently updated recommendations by trained personnel. The key step in postnatal adaptation is the initiation of breathing with a subsequent increase in pulmonary blood flow and pulmonary gas exchange. Therefore, in compromised newborn infants, adequate ventilation is the most important step in cardiopulmonary resuscitation. Ventilation should be initiated with room air in term infants and with low concentrations of supplemental oxygen in preterm infants. Subsequently, oxygen supplementation should always be guided by pulse oximetry. Chest compressions are only effective if adequate ventilation has been ensured. The compression ventilation ratio remains 3:1. The prevention of heat loss and maintaining a normal body temperature by adequate measures is an essential part of the care for healthy as well as asphyxiated infants. Therapeutic hypothermia should only be initiated after successful resuscitation and consultation with the regional neonatal intensive care unit.
authors.affiliation: Anästhesie, operative Intensivmedizin und Schmerztherapie am Evangelischen Krankenhaus Kalk in Köln. kalmbach@evkk.de
authors.forename: Kilian
authors.initials: K
authors.lastname: Kalmbach
authors.forename: Andreas
authors.initials: A
authors.lastname: Leonhardt
mesh_terms: D000222:Adaptation, Physiological; D000328:Adult; D001034:Apgar Score; D001993:Bronchodilator Agents / Q000627:therapeutic use; D016887:Cardiopulmonary Resuscitation; D004632:Emergency Medical Services; D004837:Epinephrine / Q000627:therapeutic use; D005260:Female; D005392:First Aid / Q000379:methods*; D017408:Guidelines as Topic; D006801:Humans; D007231:Infant, Newborn / Q000502:physiology*; D015931:Intensive Care, Neonatal; D007442:Intubation, Intratracheal; D011247:Pregnancy; D012121:Respiration, Artificial; D012151:Resuscitation / Q000379:methods*
chemical_list: D001993:Bronchodilator Agents; D004837:Epinephrine