TY - JOUR
T1 - Drugs in the delivery room
AU - Ramachandran, Shalini
AU - Wyckoff, Myra
N1 - Publisher Copyright:
© 2019
PY - 2019/12
Y1 - 2019/12
N2 - The need for cardiopulmonary resuscitation in newborns is quite rare, as most non-vigorous infants respond well to effective ventilation. For the minority of babies who do not respond to adequate ventilation, chest compressions are necessary using the preferred two thumb technique. Since effective ventilation remains a key component to successful resuscitation, chest compressions are coordinated with ventilations in a 3:1 ratio. If despite adequate ventilation and compressions, the heart rate remains below 60 beats per minute, epinephrine is indicated. The intravenous route is preferred over the endotracheal route and the recommended dose of epinephrine is 0.01–0.03 mg/kg. This can be repeated every 3–5 min until return of spontaneous circulation is achieved. In rare instances, when there is no response to these above measures and in infants who show evidence of significant hypovolemia, volume replacement should be considered.
AB - The need for cardiopulmonary resuscitation in newborns is quite rare, as most non-vigorous infants respond well to effective ventilation. For the minority of babies who do not respond to adequate ventilation, chest compressions are necessary using the preferred two thumb technique. Since effective ventilation remains a key component to successful resuscitation, chest compressions are coordinated with ventilations in a 3:1 ratio. If despite adequate ventilation and compressions, the heart rate remains below 60 beats per minute, epinephrine is indicated. The intravenous route is preferred over the endotracheal route and the recommended dose of epinephrine is 0.01–0.03 mg/kg. This can be repeated every 3–5 min until return of spontaneous circulation is achieved. In rare instances, when there is no response to these above measures and in infants who show evidence of significant hypovolemia, volume replacement should be considered.
KW - Adrenaline
KW - Compressions
KW - Epinephrine
KW - Neonatal resuscitation
KW - Ventilation
KW - Volume
UR - http://www.scopus.com/inward/record.url?scp=85072767550&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85072767550&partnerID=8YFLogxK
U2 - 10.1016/j.siny.2019.101032
DO - 10.1016/j.siny.2019.101032
M3 - Article
C2 - 31588028
AN - SCOPUS:85072767550
SN - 1744-165X
VL - 24
JO - Seminars in Fetal and Neonatal Medicine
JF - Seminars in Fetal and Neonatal Medicine
IS - 6
M1 - 101032
ER -