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Neonatal resuscitation: advances in training and practice

Taylor Sawyer1, Rachel A Umoren1, Megan M Gray1

  • 1Department of Pediatrics, Division of Neonatology, Neonatal Education and Simulation-based Training (NEST) Program, University of Washington School of Medicine, Seattle, WA, USA.

Advances in Medical Education and Practice
|January 19, 2017
PubMed

Insights

Nearly 400,000 US newborns need breathing support annually. This review covers the latest Neonatal Resuscitation Program (NRP) curriculum and American Heart Association (AHA) guidelines to improve infant resuscitation training and practice.

Area of Science:

  • Neonatal Medicine
  • Medical Education
  • Emergency Medicine

Background:

  • Each year, approximately 400,000 newborns in the US require respiratory support at birth.
  • Effective neonatal resuscitation training and evidence-based guidelines are crucial due to the high incidence of breathing difficulties in newborns.
  • The International Liaison Committee on Resuscitation (ILCOR) periodically reviews resuscitation science, informing guidelines developed by the American Heart Association (AHA) and educational curricula like the Neonatal Resuscitation Program (NRP).

Approach:

  • This report reviews the latest advancements in neonatal resuscitation training and clinical practice.
  • It examines the newly released 7th edition of the NRP training curriculum, including components like eSim®, Performance Skills Stations, Integrated Skills Station, and Simulation and Debriefing.
  • The report also analyzes significant updates to the 2015 AHA neonatal resuscitation guidelines.

Key Points:

  • The 7th edition NRP curriculum incorporates advanced simulation and debriefing techniques for comprehensive training.
  • Key changes in the 2015 AHA guidelines address initial newborn care, positive-pressure ventilation, airway management (endotracheal intubation, laryngeal mask), chest compressions, and medications.
  • Special considerations for the resuscitation of preterm newborns and ethical aspects, including end-of-life care, are also highlighted.

Conclusions:

  • This review provides a concise overview of recent progress in neonatal resuscitation, encompassing both educational strategies and clinical practice guidelines.
  • The updated NRP curriculum and AHA guidelines aim to enhance the quality of care for newborns requiring resuscitation.
  • Continuous review and implementation of evidence-based practices are essential for improving outcomes in neonatal resuscitation.

Keywords:
NRPNeonatal Resuscitation Programdebriefingdeliberate practiceeSIMneonatal resuscitationsimulation

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