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Heart Rate Assessment during Neonatal Resuscitation
Peter A Johnson1,2, Georg M Schmölzer1,2
1Centre for the Studies of Asphyxia and Resuscitation, Neonatal Research Unit, Royal Alexandra Hospital, Edmonton, AB T5A 0A1, Canada.
Healthcare (Basel, Switzerland)
|February 28, 2020
Summary
Accurate heart rate (HR) assessment is crucial for guiding neonatal resuscitation and ensuring infant wellbeing. This review covers current practices, techniques, and new technologies for precise HR monitoring during birth transitions.
Area of Science:
- Neonatal Medicine
- Pediatric Cardiology
- Perinatal Health
Background:
- Neonatal transition to extrauterine life often requires respiratory support in ~10% of newborns.
- Accurate heart rate (HR) determination is critical for assessing newborn wellbeing and guiding resuscitation efforts.
- The Neonatal Resuscitation Program algorithm emphasizes timely and precise HR assessment.
Purpose of the Study:
- To review current practices in heart rate assessment during neonatal resuscitation.
- To summarize recommended techniques and novel technologies for HR determination.
- To discuss considerations for accurate and rapid HR assessment in newborns.
Main Methods:
- Literature review of current practices and guidelines.
- Analysis of recommended and emerging HR assessment techniques.
- Synthesis of considerations for effective HR monitoring in neonatal resuscitation.
Main Results:
- Heart rate is the most sensitive indicator for guiding neonatal resuscitation interventions.
- Ineffective or delayed HR assessment increases risks of hypoxic injury and mortality.
- Current practices and technologies aim for accuracy, reliability, and speed in HR determination.
Conclusions:
- Accurate, reliable, and rapid heart rate assessment is paramount for optimal neonatal resuscitation outcomes.
- Understanding current techniques and emerging technologies is essential for clinicians.
- Effective HR monitoring directly impacts the prevention of adverse neonatal outcomes.
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