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A critical review of the 2020 International Liaison Committee on Resuscitation treatment recommendations for resuscitating the newly born infant.

Authors
  • Saugstad, Ola D1, 2
  • Robertson, Nicola J3, 4
  • Vento, Maximo5, 6
  • 1 Department of Pediatric Research, University of Oslo, Oslo, Norway. , (Norway)
  • 2 Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
  • 3 Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
  • 4 Institute for Women's Health, University College London, London, UK.
  • 5 Division of Neonatology, University and Polytechnic Hospital La Fe, Valencia, Spain. , (Spain)
  • 6 Health Research Institute La Fe, Valencia, Spain. , (Spain)
Type
Published Article
Journal
Acta Paediatrica
Publisher
Wiley (Blackwell Publishing)
Publication Date
Apr 01, 2021
Volume
110
Issue
4
Pages
1107–1112
Identifiers
DOI: 10.1111/apa.15754
PMID: 33417251
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The 2020 recommendations from the International Liaison Committee on Resuscitation are an improved version of the 2015 version. The algorithm and 15 procedures are unchanged from 2015, but there are six procedures with new or changed recommendations. One new recommendation is briefing/debriefing following neonatal resuscitation. Procedures with changed suggestions/recommendations are as follows: suctioning of non-vigorous infants delivered through meconium-stained amniotic fluid, sustained inflation of preterm infants, optimising epinephrine (adrenaline), vascular access and discontinuing resuscitative efforts. CONCLUSION: In this review, we summarise the present recommendations and offer additional comments and views regarding heart rate detection, cord clamping, oxygenation and thermal control. © 2021 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.

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