• Clinics in perinatology · Dec 2012

    Review

    Chest compressions for bradycardia or asystole in neonates.

    • Vishal Kapadia and Myra H Wyckoff.
    • Division of Neonatal-Perinatal Medicine, Department of Pediatrics, The University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Boulevard, Dallas, TX 75390-9063, USA.
    • Clin Perinatol. 2012 Dec 1;39(4):833-42.

    AbstractWhen 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.Copyright © 2012 Elsevier Inc. All rights reserved.

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