Novel Approaches to Neonatal Resuscitation and the Impact on Birth Asphyxia

作者：Te Pas Arjan B; Sobotka Kristina; Hooper Stuart B

来源：Clinics in Perinatology, 2016, 43(3): 455-+.

DOI：10.1016/j.clp.2016.04.005

• Asphyxia
• Resuscitation
• Sustained inflation
• Oxygen
• Cord clamping
• Cardiac compressions

Historically, recommendations for neonatal resuscitation were largely based on dogma, but there is renewed interest in performing resuscitation studies at birth. The emphasis for resuscitation following birth asphyxia is administering effective ventilation, as adequate lung aeration leads not only to an increase in oxygenation but also increased pulmonary blood flow and heart rate. To aerate the lung, an initial sustained inflation can increase heart rate, oxygenation, and blood pressure recovery much faster when compared with standard ventilation. Hyperoxia should be avoided, and extra oxygen given to restore cardiac function and spontaneous breathing should be titrated based on oxygen saturations.

• 出版日期2016-9
• 单位河北医科大学