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Updated: May 30, 2026
The Perinatal Asphyxiated Lamb Model: A Model for Newborn Resuscitation
Published on: August 15, 2018
[Resuscitation of newborn infants]
Kilian Kalmbach1, Andreas Leonhardt
1Anästhesie, operative Intensivmedizin und Schmerztherapie am Evangelischen Krankenhaus Kalk in Köln. kalmbach@evkk.de
Insights
Successful newborn resuscitation requires prompt, prepared support. Adequate ventilation is crucial for breathing, gas exchange, and effective chest compressions in compromised infants.
Area of Science:
- Neonatal Medicine
- Pediatric Resuscitation
- Cardiopulmonary Physiology
Context:
- Newborn infants require immediate intervention for postnatal adaptation.
- Initiation of breathing is critical for pulmonary blood flow and gas exchange.
- Compromised newborns necessitate prompt cardiopulmonary support.
Purpose:
- To outline updated recommendations for neonatal resuscitation.
- To emphasize the importance of adequate ventilation in newborn infants.
- To guide the use of oxygen and chest compressions during resuscitation.
Summary:
- Successful neonatal resuscitation hinges on preparation, evaluation, and prompt support following updated guidelines.
- Adequate ventilation is the paramount step, initiated with room air or supplemental oxygen guided by pulse oximetry.
- Chest compressions (3:1 ratio) are effective only after ventilation is ensured; maintaining normothermia is essential, with therapeutic hypothermia reserved for post-resuscitation care.
Impact:
- Ensures adherence to current best practices in neonatal resuscitation.
- Improves outcomes for newborns requiring cardiopulmonary support.
- Provides a clear framework for healthcare professionals managing neonatal emergencies.
Abstract:
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. Therefore, 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. Therapeutic hypothermia should only be initiated after successful resuscitation and consultation with the regional neonatal intensive care unit.
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