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Resuscitation of preterm infants: delivery room interventions and their effect on outcomes

Colm P F O'Donnell1, Georg M Schmölzer

  • 1Department of Neonatology, The National Maternity Hospital, Holles Street, Dublin 2, Ireland.

Clinics in Perinatology
|November 21, 2012
PubMed

Despite advances in neonatal care, the rate of oxygen dependence at 36 weeks' postmenstrual age or bronchopulmonary dysplasia has not fallen. Neonatologists are increasingly careful to apply ventilation strategies that are gentle to the lung in the neonatal intensive care unit. However, there has not been the same emphasis applying gentle ventilation strategies immediately after birth. A lung-protective strategy should start immediately after birth to establish a functional residual capacity, reduce volutrauma and atelectotrauma, facilitate gas exchange, and improve oxygenation during neonatal transition. This article discusses techniques and equipment recommended by international resuscitation guidelines during breathing assistance in the delivery room.

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