Document Detail


Room air resuscitation-two decades of neonatal research.
MedLine Citation:
PMID:  15707722     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Experimental as well as clinical studies have demonstrated that room air is as efficient as pure oxygen for newborn resuscitation. Recent data even indicate that outcome is improved if pure oxygen is avoided. Thus, in a meta-analysis, neonatal mortality was significantly lower in those newly born infants resuscitated with 21% than with 100% oxygen. Short-term recovery is also improved in the room air group since time to first breath is shorter, heart rate at 90 s and 5 min Apgar score are higher. Animal data indicate that injury in a number of organs, including the brain, is aggravated by giving pure oxygen to newly born depressed infants even for a brief period. Although the optimal oxygen concentration probably is not known for newborn infants in need of resuscitation, pure oxygen should be avoided. These data should be reflected in new guidelines that are under way.
Authors:
Ola Didrik Saugstad
Publication Detail:
Type:  Journal Article; Review     Date:  2004-11-19
Journal Detail:
Title:  Early human development     Volume:  81     ISSN:  0378-3782     ISO Abbreviation:  Early Hum. Dev.     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-02-14     Completed Date:  2005-06-28     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7708381     Medline TA:  Early Hum Dev     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  111-6     Citation Subset:  IM    
Affiliation:
Department of Pediatric, Research Rikshospitalet, University of Oslo, 0027 Oslo, Norway. o.d.saugstad@medisin.uio.no
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MeSH Terms
Descriptor/Qualifier:
Air*
Asphyxia Neonatorum / therapy*
Brain / pathology
Free Radicals / metabolism
Heart Rate
Humans
Hypoxanthine / blood
Infant, Newborn
Oxygen / adverse effects
Resuscitation / methods*
Chemical
Reg. No./Substance:
0/Free Radicals; 68-94-0/Hypoxanthine; 7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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