Department of Pediatric Research, University of Oslo, Oslo, Norway.
Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University, Chicago, Illinois, USA.
Neonatology. 2024;121(5):553-561. doi: 10.1159/000540079. Epub 2024 Aug 14.
Newborn resuscitation algorithms have since the turn of the century been more evidence-based. In this review, we discuss the development of American Heart Association (AHA) and the International Liaison Committee on Resuscitation (ILCOR)'s algorithm for newborn resuscitation from 1992-2024. We have also aimed to identify the remaining gaps in non-evidenced practice.
Of the 22 procedures reviewed in the 2020 ILCOR recommendations, the evidence was either low, very low, or non-existing. The strength of recommendation is weak or non-existing for most topics discussed. Several knowledge gaps are also summarized. The special challenge for low- and middle-income countries (LMIC) is discussed.
Newborn resuscitation is still not evidence-based, although great progress has been achieved the recent years. We have identified several knowledge gaps which should be prioritized in future research. The challenge of obtaining evidence-based knowledge from LMIC should be focused on in future research.
自世纪之交以来，新生儿复苏算法更加基于证据。在这篇综述中，我们讨论了美国心脏协会（AHA）和国际复苏联合会（ILCOR）自 1992 年至 2024 年制定的新生儿复苏算法的发展。我们还旨在确定非循证实践中尚存的差距。
在 2020 年 ILCOR 建议中审查的 22 个程序中，证据要么是低质量的，要么是极低质量的，要么根本不存在。对于讨论的大多数主题，推荐强度是弱的或根本不存在的。还总结了一些知识空白。还讨论了中低收入国家（LMIC）面临的特殊挑战。
尽管近年来已经取得了巨大的进展，但新生儿复苏仍然不是基于证据的。我们已经确定了几个应该在未来研究中优先考虑的知识空白。从 LMIC 获取基于证据的知识的挑战应在未来的研究中重点关注。
