Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Chest Compressions in the Delivery Room

Version 1 : Received: 1 October 2018 / Approved: 2 October 2018 / Online: 2 October 2018 (14:58:58 CEST)

A peer-reviewed article of this Preprint also exists.

Garcia-Hidalgo, C.; Schmölzer, G.M. Chest Compressions in the Delivery Room. Children 2019, 6, 4. Garcia-Hidalgo, C.; Schmölzer, G.M. Chest Compressions in the Delivery Room. Children 2019, 6, 4.

Abstract

Annually, an estimated 13-26 million newborns need respiratory support and 2-3 million newborns need extensive resuscitation, defined as chest compression and 100% oxygen with or without epinephrine in the delivery room. Despite such care, there is a high incidence of mortality and short-term neurologic morbidity. The poor prognosis associated with receiving chest compression alone or with medications in the delivery room raises questions as to whether improved cardiopulmonary resuscitation methods specifically tailored to the newborn could improve outcomes. This review discusses the current recommendations, mode of action, different compression to ventilation ratio, continuous chest compression with asynchronous ventilations, chest compression and sustained inflation optimal depth, and oxygen concentration during cardiopulmonary resuscitation.

Keywords

Infants, Newborn, Neonatal Resuscitation, Chest compressions, Delivery room

Subject

Medicine and Pharmacology, Pediatrics, Perinatology and Child Health

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