• Benjamin J Stenson, David W Boyle, and Edgardo G Szyld.
• Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh, Edinburgh EH16 4SU UK. Ben.stenson@luht.scot.nhs.uk
• Clin Perinatol. 2006 Mar 1; 33 (1): 65-82, vi-vii.

AbstractVentilation alone is usually effective in most neonatal resuscitation episodes. A review of the evidence underpinning recommendations for methods and devices for providing initial ventilation during newborn resuscitation was conducted. Self-inflating bags, flow-inflating (anesthesia) bags, and T-piece devices all may be used to provide effective ventilation after birth, with none clearly superior. Whichever method is used, ventilation is likely to be delivered more consistently if a pressure-monitoring device is incorporated. The best indication of successful ventilation is a prompt increase in heart rate. The role of positive end-expiratory pressure during resuscitation requires further research, particularly in preterm infants, in whom it may protect against lung injury.

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