ILCOR Advisory Statement: Resuscitation of the Newly Born Infant

Kattwinkel, John; Niermeyer, Susan; Nadkarni, Vinay; Tibballs, James; Phillips, Barbara; Zideman, David; Reempts, Patrick Van; Osmond, Martin H.

doi:10.1161/01.cir.99.14.1927

Cited by 102 publications

(60 citation statements)

References 92 publications

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“…5 9 to comprehensive basic and advanced resuscitation for the newly born. 10 Careful review of the guidelines of constituent organizations [11][12][13][14][15][16][17] and current international literature formed the basis for the 1999 ILCOR advisory statement. 10 We have included consensus recommendations from that statement at the beginning of this document.…”

Section: Introductionmentioning

confidence: 99%

International Guidelines for Neonatal Resuscitation: An Excerpt From the Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: International Consensus on Science

2000

Pediatrics

415

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The International Guidelines 2000 Conference on Cardiopulmonary Resuscitation (CPR) and Emergency Cardiac Care (ECC) formulated new evidenced-based recommendations for neonatal resuscitation. These guidelines comprehensively update the last recommendations, published in 1992 after the Fifth National Conference on CPR and ECC. As a result of the evidence evaluation process, significant changes occurred in the recommended management routines for: • Meconium-stained amniotic fluid: If the newly born infant has absent or depressed respirations, heart rate <100 beats per minute (bpm), or poor muscle tone, direct tracheal suctioning should be performed to remove meconium from the airway. • Preventing heat loss: Hyperthermia should be avoided. • Oxygenation and ventilation: 100% oxygen is recommended for assisted ventilation; however, if supplemental oxygen is unavailable, positive-pressure ventilation should be initiated with room air. The laryngeal mask airway may serve as an effective alternative for establishing an airway if bag-mask ventilation is ineffective or attempts at intubation have failed. Exhaled CO2 detection can be useful in the secondary confirmation of endotracheal intubation. • Chest compressions: Compressions should be administered if the heart rate is absent or remains <60 bpm despite adequate assisted ventilation for 30 seconds. The 2-thumb, encircling-hands method of chest compression is preferred, with a depth of compression one third the anterior-posterior diameter of the chest and sufficient to generate a palpable pulse. • Medications, volume expansion, and vascular access: Epinephrine in a dose of 0.01–0.03 mg/kg (0.1–0.3 mL/kg of 1:10,000 solution) should be administered if the heart rate remains <60 bpm after a minimum of 30 seconds of adequate ventilation and chest compressions. Emergency volume expansion may be accomplished with an isotonic crystalloid solution or O-negative red blood cells; albumin-containing solutions are no longer the fluid of choice for initial volume expansion. Intraosseous access can serve as an alternative route for medications/volume expansion if umbilical or other direct venous access is not readily available. • Noninitiation and discontinuation of resuscitation: There are circumstances (relating to gestational age, birth weight, known underlying condition, lack of response to interventions) in which noninitiation or discontinuation of resuscitation in the delivery room may be appropriate.

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Section: Introductionmentioning

confidence: 99%

International Guidelines for Neonatal Resuscitation: An Excerpt From the Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: International Consensus on Science

2000

Pediatrics

415

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“…The traditional method of resuscitation of newly born infants is with pure oxygen [Kattwinkel, J. et al (1999), Niermeyer, S. et al (2000)]. However, this therapy was introduced without any preceding randomised trials being conducted.…”

Section: Oxidative Stress and Resuscitation With Ambient Air Vs Pure mentioning

confidence: 99%

Oxidative Stress of Newborn

Gitto¹,

D’Angelo²,

Cusumano³

et al. 2012

Complementary Pediatrics

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“…Members of the Neonatal Resuscitation Program (NRP) Steering Committee of the American Academy of Pediatrics (AAP) and representatives of the World Health Organization (WHO) joined the ILCOR Pediatric Working Group to extend existing advisory recommendations for pediatric and neonatal basic life support 9 to comprehensive basic and advanced resuscitation for the newly born. 10 Careful review of the guidelines of constituent organizations [11][12][13][14][15][16][17] and current international literature formed the basis for the 1999 ILCOR advisory statement. 10 We have included consensus recommendations from that statement at the beginning of this document.…”

Section: Changes In Neonatal Resuscitation Guidelines 1992 To 2000mentioning

confidence: 99%

“…10 Careful review of the guidelines of constituent organizations [11][12][13][14][15][16][17] and current international literature formed the basis for the 1999 ILCOR advisory statement. 10 We have included consensus recommendations from that statement at the beginning of this document.…”

Section: Changes In Neonatal Resuscitation Guidelines 1992 To 2000mentioning

confidence: 99%

Part 11: Neonatal Resuscitation

2000

Circulation

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ILCOR Advisory Statement: Resuscitation of the Newly Born Infant

Cited by 102 publications

References 92 publications

International Guidelines for Neonatal Resuscitation: An Excerpt From the Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: International Consensus on Science

International Guidelines for Neonatal Resuscitation: An Excerpt From the Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: International Consensus on Science

Oxidative Stress of Newborn

Part 11: Neonatal Resuscitation

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