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Neonatal resuscitation, also known as newborn resuscitation, is an emergency procedure focused on supporting approximately 10% of newborn children who do not readily begin breathing, putting them at risk of irreversible organ injury and death. [1] Many of the infants who require this support to start breathing well on their own after assistance.
This program focuses on basic resuscitation skills for newly born infants. [2] With the rollout of the seventh edition of the Neonatal Resuscitation Program to reflect the 2016 American Academy of Pediatrics guidelines for resuscitation, the course format has changed considerably.
Pediatric Basic Life Support (PBLS) is a rescue procedure which has purpose of preventing the anoxic brain damage by promoting the return of spontaneous circulation and breathing in cases of cardiac arrest. Unlike adult Basic Life Support (BLS), PBLS is dedicated to pediatric patients. It can be practiced by anyone without help of tools or ...
Pediatric advanced life support (PALS) is a course offered by the American Heart Association (AHA) for health care providers who take care of children and infants in the emergency room, critical care and intensive care units in the hospital, and out of hospital (emergency medical services (EMS)).
Variation between the one-minute and five-minute Apgar scores can be used to assess an infant's response to resuscitation. If the score is below seven at the five-minute mark, the Neonatal Resuscitation Program guidelines specify that the infant's Apgar score should be reassessed at five-minute intervals for up to 20 minutes. [4]
The PALS guidelines comment on this issue: "There are no data regarding the safety or efficacy of adjusting the doses of resuscitation medications in obese patients. Therefore, regardless of the patient’s habitus, use the actual body weight for calculating initial resuscitation drug doses or use a body length tape with pre-calculated doses." [5]
RCUK's resuscitation guidelines [5] and quality standards [6] provide guidance for healthcare professionals regarding adult, paediatric and newborn resuscitation. The organisation has an established set of professional training courses that operate across the UK and train healthcare professionals in immediate and advanced life support .
Research by Ola Didrik Saugstad and others led to new international guidelines on newborn resuscitation in 2010, recommending the use of normal air instead of 100% oxygen. [5] [6] There is considerable controversy over the diagnosis of birth asphyxia due to medicolegal reasons.
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