title: Chest compressions for bradycardia or asystole in neonates.
abstract: When effective ventilation fails to establish a heart rate of greater than 60 bpm, cardiac compressions should be initiated to improve perfusion. The 2-thumb method is the most effective and least fatiguing technique. A ratio of 3 compressions to 1 breath is recommended to provide adequate ventilation, the most common cause of newborn cardiovascular collapse. Interruptions in compressions should be limited to not diminishing the perfusion generated. Oxygen (100%) is recommended during compressions and can be reduced once adequate heart rate and oxygen saturation are achieved. Limited clinical data are available to form newborn cardiac compression recommendations.
authors.affiliation: Division of Neonatal-Perinatal Medicine, Department of Pediatrics, The University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Boulevard, Dallas, TX 75390-9063, USA.
authors.forename: Vishal
authors.initials: V
authors.lastname: Kapadia
authors.forename: Myra H
authors.initials: MH
authors.lastname: Wyckoff
mesh_terms: D001238:Asphyxia Neonatorum / Q000503:physiopathology / Q000628:therapy*; D001919:Bradycardia / Q000503:physiopathology / Q000628:therapy*; D006323:Heart Arrest / Q000503:physiopathology / Q000628:therapy*; D006336:Heart Massage / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D010102:Oxygen Inhalation Therapy / Q000379:methods; D017410:Practice Guidelines as Topic; D013933:Thumb