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Update on Neonatal Resuscitation: The 2010 Guidelines

Kamaldeep Arora , Kamaldeep Arora , Rashmi Ranjan Das , M Jeeva Sankar

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Indian Journal of Trauma and Emergency Pediatrics 3(3):p 111-117, July - September 2011. | DOI:

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Abstract

There have been major changes in the way that newborn infants are managed in the delivery room. The International Liaison Committee on Resuscitation guidelines incorporated much of the newly available evidence on the management of newborn infants and was last updated in 2010. The most important updates being; resuscitating term newborns with room air, use of blended oxygen for preterm infants, use of pulse-oximeter in the delivery room, to provide positive pressure ventilation with one of the three devices (self-inflating bag, flow inflating bag or T piece) when necessary. The updated guidelines also provide indications for use of intravenous epinephrine, which is the preferred route of administration, and recommend not to use sodium bicarbonate or naloxone during resuscitation. Other recommendations includethermal support to resuscitate preterm infants and use of therapeutic hypothermia for infants born at or more than 36 weeks’ gestation with moderate to severe hypoxic-ischemic encephalopathy.

Keywords: Neonatal advanced life support; NALS 2010; Newborn resuscitation guidelines.

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