Effective ventilation: The most critical intervention for successful delivery room resuscitation

Lung aeration is the critical first step that triggers the transition from fetal to postnatal cardiopulmonary physiology after birth. When an infant is apneic or does not breathe sufficiently, intervention is needed to support this transition. Effective ventilation is therefore the cornerstone of ne...

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Bibliographic Details
Published in:Seminars in fetal & neonatal medicine 2018-10, Vol.23 (5), p.340-346
Main Authors: Foglia, Elizabeth E., te Pas, Arjan B.
Format: Article
Language:English
Subjects:
Delivery Rooms
Female
Humans
Infant, Newborn
Intermittent Positive-Pressure Ventilation - methods
Lung aeration
Newborn
Pregnancy
Respiration
Resuscitation
Resuscitation - methods
Ventilation
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Summary:Lung aeration is the critical first step that triggers the transition from fetal to postnatal cardiopulmonary physiology after birth. When an infant is apneic or does not breathe sufficiently, intervention is needed to support this transition. Effective ventilation is therefore the cornerstone of neonatal resuscitation. In this article, we review the physiology of cardiopulmonary transition at birth, with particular attention to factors the caregiver should consider when providing ventilation. We then summarize the available clinical evidence for strategies to monitor and perform positive pressure ventilation in the delivery room setting.
ISSN:1744-165X
1878-0946
1878-0946
DOI:10.1016/j.siny.2018.04.001