Air or 100% oxygen in neonatal resuscitation?
نویسندگان
چکیده
For more than 100 years, three principles have guided the treatment of neonatal asphyxia: maintain body heat, free air passages of obstructions, and stimulate respiration by supplying air to the lungs for oxygenation of the blood. This article addresses the question of which gas, air or 100% oxygen, is best supplied to the lungs to stimulate respiration. Evidence-based studies are presented and discussed.
منابع مشابه
Air or 100% oxygen for asphyxiated babies? Time to decide
Both experimental and clinical studies have demonstrated that room air is as efficient as 100% oxygen for newborn resuscitation and improves short-term recovery. The recent meta-analysis by Davis and colleagues in the Lancet includes five studies from the past 10 years where asphyxiated infants were randomised or pseudo-randomised to be resuscitated in room air or in 100% oxygen. A significant ...
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OBJECTIVE To measure the delivered fractional oxygen concentration (F(DO(2))) from preterm-size Laerdal silicone resuscitators (PLSR) without a reservoir. BACKGROUND The North American Neonatal Resuscitation Program manual states that self-inflating bags without a reservoir deliver approximately 40% oxygen, differing from the PLSR manufacturer's specifications. METHODS A neonatal test lung ...
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Introduction: In evaluating neonatal resuscitation practices, the use of 100% oxygen for resuscitation of asphyxiated infants has been questioned. Evidence in animal models has determined that exposure to hyperoxia during and after the hypoxic period can generate excessive neurotoxic compounds and that resuscitation with room air may result in better neurologic outcome. Two controlled clinical ...
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متن کاملNeonatal resuscitation: an update.
Appropriate resuscitation must be available for each of the more than 4 million infants born annually in the United States. Ninety percent of infants transition safely, and it is up to the physician to assess risk factors, identify the nearly 10 percent of infants who need resuscitation, and respond appropriately. A team or persons trained in neonatal resuscitation should be promptly available ...
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عنوان ژورنال:
- Clinics in perinatology
دوره 33 1 شماره
صفحات -
تاریخ انتشار 2006