Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA.
Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Neoreviews. 2024 Oct 1;25(10):e612-e633. doi: 10.1542/neo.25-10-e612.
Delivery room resuscitation of infants with surgical conditions can be complex and depends on an experienced and cohesive multidisciplinary team whose performance is more important than that of any individual team member. Existing resuscitation algorithms were not developed for infants with congenital anomalies, and delivery room resuscitation is largely dictated by expert opinion extrapolating physiologic expectations from infants without anomalies. As prenatal diagnosis rates improve, there is an increased ability to plan for the unique delivery room needs of infants with surgical conditions. In this review, we share expert opinion, including our center's delivery room management for neonatal noncardiac surgical conditions, and highlight knowledge gaps and the need for further studies and evidence-based practice to be incorporated into the delivery room care of infants with surgical conditions. Future research in this area is essential to move from an expert-based approach to a data-driven approach to improve and individualize delivery room resuscitation of infants with surgical conditions.
产房复苏患有外科病症的婴儿可能较为复杂，并且取决于一支经验丰富、协作紧密的多学科团队，其表现比任何单个团队成员都更为重要。现有的复苏算法并非为患有先天畸形的婴儿制定，产房复苏在很大程度上取决于专家意见，即从无畸形的婴儿中推断生理预期。随着产前诊断率的提高，人们能够更好地为有外科病症的婴儿制定独特的产房需求计划。在这篇综述中，我们分享专家意见，包括我们中心对患有非心脏外科病症新生儿的产房管理，并强调了知识空白以及需要进一步研究和循证实践，以将其纳入有外科病症婴儿的产房护理中。该领域的未来研究对于从基于专家的方法转变为基于数据的方法至关重要，这将有助于改善和个体化有外科病症婴儿的产房复苏。
