Delivery room emergencies: Respiratory emergencies in the DR.


Journal

Seminars in fetal & neonatal medicine
ISSN: 1878-0946
Titre abrégé: Semin Fetal Neonatal Med
Pays: Netherlands
ID NLM: 101240003

Informations de publication

Date de publication:
12 2019
Historique:
pubmed: 28 10 2019
medline: 25 7 2020
entrez: 25 10 2019
Statut: ppublish

Résumé

The majority of newborns transition to extra uterine life without support. However, respiratory emergencies in the delivery room are a common occurrence. Whilst some situations are predictable e.g. the anticipated birth of an extremely preterm infant, others are less so. In this chapter we address the most frequent scenarios that result in delivery room respiratory emergencies and discuss the latest recommendations for their management. We outline the need for a trained resuscitation team and appropriate equipment to provide respiratory support at every birth. We address the basic care that all infants should receive, the detailed application of non-invasive ventilation and the use of advanced airway techniques. We discuss the unique challenges presented by extreme prematurity including umbilical cord management, use of supplemental oxygen, initial modes of respiratory support and surfactant delivery. We will explore optimal techniques in the management of infants with lung hypoplasia, pneumothorax and meconium aspiration.

Identifiants

pubmed: 31645310
pii: S1744-165X(19)30075-7
doi: 10.1016/j.siny.2019.101039
pii:
doi:

Substances chimiques

Pulmonary Surfactants 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

101039

Informations de copyright

© 2019 Elsevier Ltd. All rights reserved.

Auteurs

Louise S Owen (LS)

Newborn Research Centre and Neonatal Services, The Royal Women's Hospital, Melbourne, VIC, Australia; Department of Obstetrics and Gynaecology, The University of Melbourne, Melbourne, VIC, Australia; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, VIC, Australia. Electronic address: louise.owen@thewomens.org.au.

Brett J Manley (BJ)

Newborn Research Centre and Neonatal Services, The Royal Women's Hospital, Melbourne, VIC, Australia; Department of Obstetrics and Gynaecology, The University of Melbourne, Melbourne, VIC, Australia; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, VIC, Australia. Electronic address: brett.manley@thewomens.org.au.

Peter G Davis (PG)

Newborn Research Centre and Neonatal Services, The Royal Women's Hospital, Melbourne, VIC, Australia; Department of Obstetrics and Gynaecology, The University of Melbourne, Melbourne, VIC, Australia; Clinical Sciences, Murdoch Children's Research Institute, Melbourne, VIC, Australia. Electronic address: pgd@unimelb.edu.au.

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