Moving from experience to evidence: changes in US Neonatal Resuscitation Program based on International Liaison Committee on Resuscitation Review
Moving from experience to evidence: changes in US Neonatal Resuscitation Program based on International Liaison Committee on Resuscitation Review
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DOI：
10.1038/jp.2008.48
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发表时间：
2008-05-01
影响因子：
2.9
通讯作者：
Escobedo, M.
中科院分区：
文献类型：
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作者：
Escobedo, M.
复苏问题国际联络委员会新生儿工作组最近对选定的新生儿复苏问题的科学证据基础进行了严格审查。《新生儿复苏计划指南》最近在该审查的基础上进行了修订，并作为《新生儿复苏》第5版的教科书出版。这篇综述文章重点介绍了建议中的相关变化，包括对以下方面的修订：氧气使用；用于确认插管的二氧化碳探测器；通过羊水粪便污染出生的婴儿的管理；初始呼吸装置和策略；极小早产儿的热保护；药物治疗，包括给药剂量和途径；复苏后治疗的考虑以及开始和停止复苏时的伦理问题。
The Neonatal Workgroup of the International Liaison Committee on Resuscitation recently made available their rigorous review of the scientific evidence base for selected neonatal resuscitation issues. The Neonatal Resuscitation Program guidelines have been recently revised based on that review and published as the Textbook of Neonatal Resuscitation, 5th edn. This review article highlights pertinent changes in recommendations, including revisions in: oxygen use; CO2 detectors for confirmation of intubation; management of the infant born through meconium-stained amniotic fluid; initial ventilation devices and strategies; thermal protection of very small preterm infants; medications, including doses and routes of delivery; postresuscitation therapies for consideration and ethical issues in initiation and discontinuation of resuscitation.