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Ramachandran, S; Bruckner, M; Wyckoff, MH; Schmölzer, GM.
Chest compressions in newborn infants: a scoping review
ARCH DIS CHILD-FETAL. 2023; 108(5): F442-F450. Doi: 10.1136/archdischild-2022-324529
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Führende Autor*innen der Med Uni Graz
Schmölzer Georg
Co-Autor*innen der Med Uni Graz
Krainer Marlies
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Abstract:
AIM: The International Liaison Committee on Resuscitation Neonatal Life Support Task Force undertook a scoping review of the literature to identify evidence relating to neonatal cardiopulmonary resuscitation. METHODS: MEDLINE complete, EMBASE and Cochrane database of Systematic reviews were searched from inception to November 2021. Two authors screened titles and abstracts and full text reviewed. Studies were eligible for inclusion if they were peer-reviewed and assessed one of five aspects of chest compression in the newborn infant including: (1) heart rate thresholds to start chest compressions (CC), (2) compression to ventilation ratio (C:V ratio), (3) CC technique, (4) oxygen use during CC and 5) feedback devices to optimise CC. RESULTS: Seventy-four studies were included (n=46 simulation, n=24 animal and n=4 clinical studies); 22/74 were related to compression to ventilation ratios, 29/74 examined optimal technique to perform CC, 7/74 examined oxygen delivery and 15/74 described feedback devices during neonatal CC. CONCLUSION: There were very few clinical studies and mostly manikin and animal studies. The findings either reinforced or were insufficient to change previous recommendations which included to start CC if heart rate remains <60/min despite adequate ventilation, using a 3:1 C:V ratio, the two-thumb encircling technique and 100% oxygen during CC.
Find related publications in this database (using NLM MeSH Indexing)
Animals - administration & dosage
Heart Arrest - administration & dosage
Systematic Reviews as Topic - administration & dosage
Cardiopulmonary Resuscitation - methods
Heart Rate - administration & dosage
Lung - administration & dosage

Find related publications in this database (Keywords)
Neonatology
Cardiology
Intensive Care Units, Neonatal
Resuscitation
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