| Room air resuscitation versus oxygen resuscitation in the delivery room. | |
| | |
MedLine Citation:
|
PMID: 16292139 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The use of 100% oxygen for delivery room resuscitation is currently the recommended standard of the American Academy of Pediatrics and the Neonatal Resuscitation Program. However, there is mounting evidence from animal and human studies suggesting that resuscitation with room air (RA, 21% oxygen), including positive pressure ventilation with bag and face mask, may be as effective as that with 100% oxygen, and that the use of 100% oxygen may pose a risk of adverse physiologic sequelae. Resuscitation with RA has been demonstrated to result in faster recovery and improved neonatal mortality in comparison to 100% oxygen resuscitation. In addition, studies of normal oxygen saturation immediately after birth suggest delivery room personnel may be rushing to high saturation unnecessarily. The question for perinatal medical and nursing personnel involved in newborn resuscitation in the delivery room is whether the use of RA reduces the possible adverse effects of 100% oxygen, including delay in short-term stabilization, death, neurological disability, and possible secondary oxygen free radical injury. A systematic synopsis of both animal studies and human studies involving the advantages, disadvantages, possible risks, and short- and long-term effects of these 2 methods of resuscitation is presented. |
| | |
Authors:
|
Karen E Corff; Debra L McCann |
Related Documents
:
|
11520189 - Is temperature important in delivery room resuscitation? 14767259 - Pedometer measures of free-living physical activity: comparison of 13 models. 22322429 - Low birthweight in mexico: a systematic review. 12435089 - The hand of birds revealed by early ostrich embryos. 18492509 - Accuracy of pulse oximetry measurement of heart rate of newborn infants in the delivery... 12532609 - Neonatologists' opinions regarding resuscitation of extremely premature infants in conn... 16644079 - The influence of maternal childhood and adulthood social class on the health of the inf... 20672359 - Do risk factors for persistent asthma modify lung function in infants and young childre... 9394859 - Cerebral blood flow and energy metabolism in the newborn. |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: The Journal of perinatal & neonatal nursing Volume: 19 ISSN: 0893-2190 ISO Abbreviation: J Perinat Neonatal Nurs Publication Date: 2005 Oct-Dec |
Date Detail:
|
Created Date: 2005-11-18 Completed Date: 2006-02-16 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8801387 Medline TA: J Perinat Neonatal Nurs Country: United States |
Other Details:
|
Languages: eng Pagination: 379-90 Citation Subset: N |
Affiliation:
|
Children's Hospital, Department of Pediatrics, Section of Neonatology, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73190, USA. Karen-corff@OUHSC.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Air* Animals Animals, Newborn Asphyxia Neonatorum / therapy* Humans Infant, Newborn Oxygen Inhalation Therapy / methods* Positive-Pressure Respiration / methods* Resuscitation / methods* Swine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Neonatal lung remodeling: structural, inflammatory, and ventilator-induced injury.
Next Document: Dedicated online virtual reference instruction.