Centre for the Studies of Asphyxia and Resuscitation, Neonatal Research Unit, Royal Alexandra Hospital, Edmonton, Alberta, Canada.
Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Neonatology. 2021;118(4):487-499. doi: 10.1159/000516429. Epub 2021 May 21.
Approximately 800,000 newborns die annually due to birth asphyxia. The resuscitation of asphyxiated term newly born infants often occurs unexpected and is challenging for healthcare providers as it demands experience and knowledge in neonatal resuscitation. Current neonatal resuscitation guidelines often focus on resuscitation of extremely and/or very preterm infants; however, the recommendations for asphyxiated term newborn infants differ in some aspects to those for preterm infants (i.e., respiratory support, supplemental oxygen, and temperature management). Since the update of the neonatal resuscitation guidelines in 2015, several studies examining various resuscitation approaches to improve the outcome of asphyxiated infants have been published. In this review, we discuss current recommendations and recent findings and provide an overview of delivery room management of asphyxiated term newborn infants.
每年约有 80 万名新生儿因出生窒息而死亡。窒息的足月新生儿复苏常常出乎意料,对医护人员来说具有挑战性,因为这需要在新生儿复苏方面具有经验和知识。目前的新生儿复苏指南通常侧重于对极早产儿和/或极早产儿的复苏;然而,对于窒息的足月新生儿,建议在某些方面与早产儿不同(即呼吸支持、补充氧气和体温管理)。自 2015 年新生儿复苏指南更新以来,已经发表了多项研究,探讨了各种复苏方法以改善窒息婴儿的结局。在这篇综述中,我们讨论了当前的建议和最近的发现,并提供了窒息足月新生儿产房管理的概述。