Improving Neonatal Cardiopulmonary Resuscitation Hemodynamics: Are Sustained Inflations During Compressions the Answer?
Chest compressions are rarely needed in newly born infants with an estimated occurrence of 0.08% for near-term and term deliveries; however, the consequences of a hypoperfused state on the brain and other organ systems can be devastating1. Newborns that require prolonged cardiac compressions with no signs of life beyond 10 minutes are at risk for exceptionally poor outcomes with up to 83% mortality and 77% severe disability noted in survivors2. Although initiation of therapeutic hypothermia appears to have some advantage for cardiopulmonary resuscitation (CPR) recipients who survive the delivery room3, optimization of the hemodynamics of neonatal cardiac compressions during CPR remains critical.
- Received September 30, 2013.
- Accepted October 1, 2013.