Resuscitation of Newborn Infants Full Text
AINS - Anästhesiologie · Intensivmedizin · Notfallmedizin · Schmerztherapie, 08/04/2011
Kalmbach K et al.– Therapeutic hypothermia should only be initiated after successfull resuscitation and consultation with the regional neonatal intensive care unit.
- Successful resuscitation of newborn infants depends on adequate preparation, exact evaluation and prompt initiation of support according to the recently updated recommendations by trained personnel.
- The key step in postnatal adaptation is the initiation of breathing with a subsequent increase in pulmonary blood flow and pulmonary gas exchange.
- In compromised newborn infants, adequate ventilation is the most important step in cardiopulmonary resuscitation.
- Ventilation should be initiated with room air in term infants and with low concentrations of supplemental oxygen in preterm infants.
- Subsequently, oxygen supplementation should always be guided by pulse oximetry.
- Chest compressions are only effective if adequate ventilation has been ensured.
- The compression ventilation ratio remains 3:1.
- The prevention of heat loss and maintaining a normal body temperature by adequate measures is an essential part of the care for healthy as well as asphyxiated infants.