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Updated: May 29, 2026

The Perinatal Asphyxiated Lamb Model: A Model for Newborn Resuscitation
Published on: August 15, 2018
Preterm resuscitation I: clinical approaches to improve management in delivery room
Mario Rüdiger1, Nicole Braun, Heidrun Gurth
1Department for Neonatology and Pediatric Intensive Care, Children's Clinic of the University Hospital Carl Gustav Carus, Fetscherstrasse 74, Dresden, Germany. mario.ruediger@uniklinikum-dresden.de
Abstract:
Delivery room (DR-) management has a great potential to optimise quality of long term outcome in extremely preterm infants. However, a new conceptual framework that focuses on an individualised 'support of transition' rather than on 'resuscitation' is necessary. Video-recordings of DR-management represent a valuable tool to improve care. Recording combined with a structured feed-back should be introduced in step-wise approach in clinical routine. To describe the postnatal condition of groups of infants or to compare interventions in a research setting, a numerical score-- representing the sum of several objective findings--is required. The conventional Apgar-Score has severe limitations that restrict its applicability. The Specified-Apgar allows an assessment of infant's condition independent of interventions and regardless of gestational age. The Expanded-Apgar quantifies the interventions needed to achieve the condition described by the Specified-Apgar. In summary, beside a new conceptual framework an individualised monitoring and an objective assessment of DR-management are required.
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