Garcia-Hidalgo Catalina, Schmölzer Georg M
Faculty of Science, University of Alberta, Edmonton, AB T5H 3V9, Canada.
Centre for the Studies of Asphyxia and Resuscitation, Neonatal Research Unit, Royal Alexandra Hospital, Edmonton, AB T5H 3V9, Canada.
Children (Basel). 2019 Jan 3;6(1):4. doi: 10.3390/children6010004.
Annually, an estimated 13⁻26 million newborns need respiratory support and 2⁻3 million newborns need extensive resuscitation, defined as chest compression and 100% oxygen with or without epinephrine in the delivery room. Despite such care, there is a high incidence of mortality and neurologic morbidity. The poor prognosis associated with receiving chest compression alone or with medications in the delivery room raises questions as to whether improved cardiopulmonary resuscitation methods specifically tailored to the newborn could improve outcomes. This review discusses the current recommendations, mode of action, different compression to ventilation ratios, continuous chest compression with asynchronous ventilations, chest compression and sustained inflation optimal depth, and oxygen concentration during cardiopulmonary resuscitation.
据估计，每年有1300万至2600万新生儿需要呼吸支持，200万至300万新生儿需要进行广泛的复苏，即在产房进行胸外按压并给予100%氧气，可使用或不使用肾上腺素。尽管采取了这种护理措施，但死亡率和神经疾病发病率仍然很高。仅在产房接受胸外按压或使用药物与预后不良相关，这引发了一个问题，即专门为新生儿量身定制的改进心肺复苏方法是否能改善预后。本综述讨论了当前的建议、作用方式、不同的按压与通气比率、同步通气下的持续胸外按压、胸外按压和持续充气的最佳深度以及心肺复苏期间的氧浓度。
