Drugs in the delivery room

Research output: Contribution to journalArticlepeer-review


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.

Original languageEnglish (US)
Article number101032
JournalSeminars in Fetal and Neonatal Medicine
Issue number6
StatePublished - Dec 2019


  • Adrenaline
  • Compressions
  • Epinephrine
  • Neonatal resuscitation
  • Ventilation
  • Volume

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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