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(Circulation. 2005;112:III-91 – III-99.)
© 2005 American Heart Association, Inc.

Section 1

Part 7: Neonatal Resuscitation

From the 2005 International Consensus Conference on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations, hosted by the American Heart Association in Dallas, Texas, January 23–30, 2005.

An extract of the first 250 words of the full text is provided, because this article has no abstract.

	Introduction

 
Approximately 10% of newborns require some assistance to begin breathing at birth, and about 1% require extensive resuscitation. Although the vast majority of newborn infants do not require intervention to make the transition from intrauterine to extrauterine life, the large number of births worldwide means that many infants require some resuscitation. Newborn infants who are born at term, had clear amniotic fluid, and are breathing or crying and have good tone must be dried and kept warm but do not require resuscitation.

All others need to be assessed for the need to receive one or more of the following actions in sequence:

A. Initial steps in stabilization (clearing the airway, positioning, stimulating)

B. Ventilation

C. Chest compressions

D. Medications or volume expansion

Progression to the next step is based on simultaneous assessment of 3 vital signs: respirations, heart rate, and color. Progression occurs only after successful completion of the preceding step. Approximately 30 seconds is allotted to complete one step successfully, reevaluate, and decide whether to progress to the next (Figure).

View larger version (20K): [in this window] [in a new window]   ILCOR Neonatal Flow Algorithm.

Since publication of the last International Liaison Committee on Resuscitation (ILCOR) document,¹ several controversial neonatal resuscitation issues have been identified. The literature was researched and a consensus was reached on the role of supplementary oxygen, peripartum management of meconium, ventilation strategies, devices to confirm placement of an advanced airway (eg, tracheal tube or laryngeal mask airway [LMA]), medications, maintenance of body temperature, postresuscitation management, and considerations for withholding and discontinuing resuscitation.

	Initial Resuscitation

 
Supplementary Oxygen
Supplementary Oxygen Versus Room Air^W202A,W202B
There is . . . [Full Text of this Article]