Chest compressions for bradycardia or asystole in Neonates

Research output: Contribution to journalReview articlepeer-review

39 Scopus citations


When effective ventilation fails to establish a heart rate of greater than 60 bpm, cardiac compressions should be initiated to improve perfusion. The 2-thumb method is the most effective and least fatiguing technique. A ratio of 3 compressions to 1 breath is recommended to provide adequate ventilation, the most common cause of newborn cardiovascular collapse. Interruptions in compressions should be limited to not diminishing the perfusion generated. Oxygen (100%) is recommended during compressions and can be reduced once adequate heart rate and oxygen saturation are achieved. Limited clinical data are available to form newborn cardiac compression recommendations.

Original languageEnglish (US)
Pages (from-to)833-842
Number of pages10
JournalClinics in Perinatology
Issue number4
StatePublished - Dec 1 2012


  • Asphyxia
  • Cardiac compressions
  • Cardiopulmonary resuscitation
  • Neonatal
  • Newborn
  • Resuscitation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology


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