| Neonatal resuscitation: foetal physiology and pathophysiological aspects. | |
| | |
MedLine Citation:
|
PMID: 22717724 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Although approximately 10% of all newborn infants receive some form of assistance after birth, only 1% of neonates require more advanced measures of life support. Because such situations cannot always be anticipated, paediatricians and neonatologists are frequently unavailable and resuscitation is delegated to the anaesthesiologist. The International Liaison Committee on Resuscitation, the European Resuscitation Council and the American Heart Association have recently updated the guidelines on neonatal resuscitation. The revised guidelines propose a simplified resuscitation algorithm that highlights the central role of respiratory support and promotes an increasing heart rate as the best indicator for effective ventilation. The most striking change in the new guidelines is the recommendation to start resuscitation in term infants with room air rather than 100% oxygen. Continuous pulse oximetry is recommended to monitor both heart rate and an appropriate increase in preductal oxygen saturation. Supplemental oxygen should only be used if, despite effective ventilation, the heart rate does not increase above 100 beats min, or if oxygenation as indicated by pulse oximetry, remains unacceptably low. This review will focus on foetal physiology and pathophysiological aspects of neonatal adaptation and, thus, attempt to provide a solid basis for understanding the new resuscitation guidelines. |
| | |
Authors:
|
Thomas M Berger |
Related Documents
:
|
6862154 - Upper esophageal sphincter and pharyngoesophageal motor function in infants with and wi... 6687294 - Multiple congenital septal atresias of the intestine: histomorphologic and pathogenetic... 15274964 - Sigmoid volvulus and unexpected death in the elderly. 16122004 - Mechanisms of failure after endoscopic third ventriculostomy in young infants. 143714 - The transitional vertebra of the lumbosacral spine: its radiological classification, in... 12900304 - Transfer of olanzapine into breast milk, calculation of infant drug dose, and effect on... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-6-20 |
Journal Detail:
|
Title: European journal of anaesthesiology Volume: - ISSN: 1365-2346 ISO Abbreviation: - Publication Date: 2012 Jun |
Date Detail:
|
Created Date: 2012-6-21 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8411711 Medline TA: Eur J Anaesthesiol Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
From the Neonatal and Paediatric Intensive Care Unit, Children's Hospital of Lucerne, Lucerne, Switzerland. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Decellularized liver as a practical scaffold with a vascular network template for liver tissue engin...
Next Document: Anaesthetic management and outcomes after noncardiac surgery in patients with hypoplastic left heart...