Manzano J L
An Esp Pediatr. 1977 Apr;10(4):389-404.
The technique of resuscitation of the asphyxiated newborn with one minute Apgar score of less than three and the results of the revision of 27 of the 55 resuscitated newborns are presented. Eighteen of the 55 patients (32%) needed to be transfused with blood, albumin, Ringer, due to hypotension but in eight of them this hypotension was only detected after the correction of the acidosis. In all the other patients ventilation and bicarbonate were only required for resuscitation and two of them received small doses of atropine, isoprenaline or adrenaline. Even though six of the 55 patients died, their death did not happen during resuscitation and so, the immediate results were 100% successful. Twenty seven patients were seen within six to 18 months after resuscitation and only 14% of them presented serious pathology. Therefore the organisation of a resuscitation team in each hospital not only would reduce neonatal mortality but morbidity also.