Delivery Room Management of the Newborn

Pediatric Clinics of North America

Volumn 56, Issue 3, 2009, Pages 515-535

  Rajani, Anand K ^a   Chitkara, Ritu ^a   Halamek, Louis P ^a  

^a STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Cardiopulmonary resuscitation; Cerebral resuscitation; Delivery room communication; Neonate; Resuscitation; Simulation based learning

Indexed keywords

ADRENALIN; NALOXONE; NARCOTIC ANALGESIC AGENT; PROSTAGLANDIN E1;

APNEA; BRADYCARDIA; BRAIN ISCHEMIA; CARBON DIOXIDE MEASUREMENT; CLINICAL PRACTICE; CLINICAL PROTOCOL; CLINICAL TRIAL; CONGENITAL DIAPHRAGM HERNIA; CONGENITAL HEART DISEASE; CONTINUOUS INFUSION; DELIVERY ROOM; DRUG FEVER; EDUCATION PROGRAM; END TIDAL CARBON DIOXIDE TENSION; EVIDENCE BASED PRACTICE; GASTROSCHISIS; HUMAN; HYPOTENSION; INDUCED HYPOTHERMIA; INTERDISCIPLINARY COMMUNICATION; MECONIUM ASPIRATION; MENINGOMYELOCELE; NEONATAL RESPIRATORY DISTRESS SYNDROME; NEWBORN; NEWBORN CARE; NEWBORN INTENSIVE CARE; OMPHALOCELE; OXYGEN CONCENTRATION; PERSISTENT PULMONARY HYPERTENSION; PIERRE ROBIN SYNDROME; PNEUMOTHORAX; POSITIVE END EXPIRATORY PRESSURE; PREMATURITY; PRENATAL DRUG EXPOSURE; RESPIRATION DEPRESSION; RESUSCITATION; REVIEW; SIDE EFFECT; SIMULATION; TACHYCARDIA; THERMOREGULATION; VASODILATATION; ALGORITHM; COMPUTER SIMULATION; FEMALE; HISTORY; HUMAN RELATION; METHODOLOGY; PATIENT CARE; PREGNANCY; PUBLIC RELATIONS;

ALGORITHMS; BODY TEMPERATURE REGULATION; COMPUTER SIMULATION; DELIVERY ROOMS; FEMALE; HISTORY, 20TH CENTURY; HUMANS; HYPOXIA-ISCHEMIA, BRAIN; INFANT, NEWBORN; INFANT, PREMATURE; INTENSIVE CARE UNITS, NEONATAL; INTERPROFESSIONAL RELATIONS; PATIENT CARE MANAGEMENT; PREGNANCY; PROFESSIONAL-FAMILY RELATIONS; RESUSCITATION;

EID: 67649094017     PISSN: 00313955     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.pcl.2009.03.003     Document Type: Review

References (78)

1. Halamek L.P. Educational perspectives: the genesis, adaptation and evolution of the neonatal resuscitation program. NeoReviews 9 (2008) e142-e149
2. Escobedo M. Moving from experience to evidence: changes in US Neonatal Resuscitation Program based on International Liaison Committee on Resuscitation Review. J Perinatol 28 (2008) S35-S40
3. In: Kattwinkel J. (Ed). Textbook of neonatal resuscitation. 5th edition (2006), American Academy of Pediatrics and American Heart Association, Elk Grove Village (IL)
4. Perlman J.M., and Kattwinkel J. Delivery room resuscitation past, present, and the future. Clin Perinatol 33 (2006) 1-9
5. McHale S., Thomas M., Hayden E., et al. Variation in inspiratory time and tidal volume with T-piece neonatal resuscitator: association with operator experience and distraction. Resuscitation 79 (2008) 230-233
6. Bennett S., Finer N.N., Rich W., et al. A comparison of three neonatal resuscitation devices. Resuscitation 67 (2005) 113-118
7. Gregory G.A., Kitterman J.A., Phibbs R.H., et al. Treatment of idiopathic respiratory distress syndrome with continuous positive airway pressure. N Engl J Med 284 (1971) 1333-1340
8. Halamek L.P., and Morley C. Continuous positive airway pressure during neonatal resuscitation. Clin Perinatol 33 (2006) 83-98
9. Drew H. Immediate intubation at birth of the very low birthweight baby. Am J Dis Child 38 (1982) 207-210
10. Dunn M.S., and Reilly M.C. Approaches to the initial respiratory management of preterm neonates. Paediatr Respir Rev 4 (2003) 2-8
11. Avery M.E., Tooley W.H., and Kelley J.B. Is chronic lung disease in low birth weight infants preventable? A survey of eight centres. Pediatrics 79 (1987) 6-30
12. Morley C.J., David P.G., Doyle L.W., et al. Coin trial investigators: nasal CPAP or intubation at birth for very preterm infants. N Engl J Med 358 (2008) 700-708
13. 2005 American Heart Association (AHA) guidelines for cardiopulmonary pesuscitation (CPR) and emergency cardiovascular care (ECC) of pediatric and neonatal patients: neonatal resuscitation guidelines. Pediatrics 115 (2006) e1-10
14. Saugstad O.D., Ramji S., Vento M., et al. Resuscitation of depressed newborn infants with ambient air or pure oxygen: a meta-analysis. Biol Neonate 87 (2005) 27-34
15. Rabi Y., Rabi D., and Yee W. Room air resuscitation of the depressed newborn: a systematic review and meta-analysis. Resuscitation 72 (2007) 353-363
16. Tin W., Milligan D.W., Pennefather P., et al. Pulse oximetry, severe retinopathy, and outcome at one year in babies of less than 28 weeks gestation. Arch Dis Child Fetal Neonatal Ed 84 2 (2001) F106-F110
17. Saugstad O.D. Bronchopulmonary dysplasia and oxidative stress: are we closer to an understanding of the pathogenesis of BPD?. Acta Paediatr 86 12 (1997) 1277-1282
18. Bell E.F. Preventing necrotizing enterocolitis: what works and how safe?. Pediatrics 115 1 (2005) 173-174
19. Wang C.L., Anderson C., Leone T.A., et al. Resuscitation of preterm neonates by using room air or 100% oxygen. Pediatrics 121 (2008) 1083-1089
20. Escrig R., Arruza L., Izquierdo I., et al. Achievement of targeted saturation values in extremely low gestational age neonates resuscitated with low or high oxygen concentrations: a prospective, randomized trial. Pediatrics 121 (2008) 875-881
21. Velaphi S., and Vidyasagar D. Intrapartun and postdelivery management of infants born to mothers with meconium-stained aminotic fluid: evidence-based recommendations. Clin Perinatol 33 (2006) 29-42
22. Antonowicz I., and Schwachman H. Meconium in health and disease. Adv Pediatr 26 (1979) 275-310
23. Dargaville P.A., and Copnell B.C. The epidemiology of meconium aspiration syndrome: incidence, risk factors, therapies, and outcome. Pediatrics 117 (2006) 1712-1721
24. Vidyasagar D., Harris V., and Pildes R.S. Assisted ventilation in infants with meconium aspiration syndrome. Pediatrics 56 (1975) 208-213
25. Vain N.E., Szyld E.G., Prudent L.M., et al. Oropharyngeal and nasopharngeal suctioning of meconium-stained neonates before delivery of their shoulders: multicentre, randomised controlled trial. Lancet 364 (2004) 597-602
26. Wiswell T.E., Gannon C.M., Jacob J., et al. Delivery room management of the apparently vigorous meconium-stained neonate: results of the multicenter, international collaborative trial. Pediatrics 105 (2000) 1-7
27. Liu W.F., and Harrington T. The need for delivery room intubation of thin meconium in the low-risk newborn: a clinical trial. Am J Perinatol 15 (1998) 657-682
28. Daga S.R., Dave K., Mehta V., et al. Tracheal suction in meconium stained infants: a randomized controlled study. J Trop Pediatr 40 (1994) 198-200
29. Halliday H., and Sweet D. Endotracheal intubation at birth for preventing morbidity and mortality in vigorous meconium-stained infants born at term. Cochrane Database Syst Rev 1 (2001) CD000500
30. Gibbons G.H., and Dzau V.J. The emerging concept of vascular remodeling. N Engl J Med 330 (1994) 1431-1438
31. Morin F.C., and Stenmark K.R. Persistent pulmonary hypertension of the newborn. Am J Respir Crit Care Med 151 (1995) 2010-2032
32. Yu V.Y.H. Persistent pulmonary hypertension of the newborn. Early Hum Dev 33 (1993) 163-175
33. Simma B., Fritz M., Fink C., et al. Conventional ventilation versus high-frequency oscillation: hemodynamic effects in newborn babies. Crit Care Med 28 (2000) 227-231
34. Moreland T.A., Brice J.E., Walker C.H., et al. Naloxone pharmacokinetics in the newborn. Br J Clin Pharmacol 9 (1980) 609-612
35. Guinsburg R., and Wyckhoff M.H. Naloxone during neonatal resuscitation: acknowledging the unknown. Clin Perinatol 33 (2006) 121-132
36. Buyon J.P. Autoimmune-associated congenital heart block: demographics, mortality, morbidity, and recurrence rates obtained from a national neonatal lupus registry. J Am Coll Cardiol 31 (1998) 1658-1666
37. Wyckhoff M.H., and Wyllie J. Endotracheal delivery of medications during neonatal resuscitation. Clin Perinatol 33 (2006) 153-160
38. Kattwinkel J., Niermeyer S., Nadkarni V., et al. Resuscitation of the newly born infants: an advisory statement from the pediatric working group of the international liaison committee on resuscitation. Resuscitation 40 (1999) 71-88
39. Wyckhoff M.H., Perlman J., and Niermeyer S. Medications during resuscitation: what is the evidence?. Semin Neonatol 6 (2001) 251-259
40. Manisterski Y., Vakin Z., et al. Endotracheal epinephrine: a call for larger doses. Anesth Analg 95 (2002) 1037-1041
41. Skinner J.R., and Sharland G. Detection and management of life threatening arrhythmias in the perinatal period. Early Hum Dev 84 (2008) 161-172
42. Torfs C.P., Curry C.J., Bateson T.F., et al. A population-based study of congenital diaphragmatic hernia. Teratology 46 (1992) 555-565
43. Enns G.M., Cox V.A., Goldstein R.B., et al. Congenital diaphragmatic defects and associated syndromes, malformations, and chromosome anomalies: a retrospective study of 60 patients and literature review. Am J Med Genet 79 (1998) 215-225
44. Johnson B.A., and Ades A. Delivery room and early postnatal management of neonates who have prenatally diagnosed congenital heart disease. Clin Perinatol 25 (2005) 921-946
45. Forbus G.A., Atz A.M., and Shirali G.S. Implications and limitations of an abnormal fetal echocardiogram. Am J Cardiol 94 (2004) 688-689
46. Perolo A., Prandstraller D., Ghi T., et al. Diagnosis and management of fetal cardiac anomalies: 10 years experience at a single institution. Ultrasound Obstet Gynecol 18 (2001) 615-618
47. Rychik J., Tian Z.Y., Fogel M.A., et al. The single ventricle heart in the fetus: accuracy of prenatal diagnosis and outcome. J Perinatol 17 (1997) 183-188
48. Mirlesse V., Cruz A., Le Bidois J., et al. Perinatal management of fetal cardiac anomalies in a specialized obstetric-pediatrics center. Am J Perinatol 18 (2001) 363-371
49. Kelsall A., Yates R., and Sullivan I. Antenatally diagnosed cardiac disease: where to deliver. Arch Dis Child 82 (2000) A33-A34
50. Toth B., Becker A., and Seelback-Gobel B. Oxygen saturation in healthy newborn infants immediately after birth measured by pulse oximetry. Arch Gynecol Obstet 266 (2002) 105-107
51. Vu L.T., Nobuhara K.K., Laurent C., et al. Increasing prevalence of gastroschisis: population-based study in California. J Pediatr 152 (2008) 807-811
52. Stoll C., Alembik Y., Dott B., and Roth M.-P. Omphalocele and gastroschisis and associated malformations. Am J Med Genet A 146A (2008) 1280-1285
53. Kaufman B. Neural tube defects. Pediatr Clin North Am 51 (2004) 389-419
54. Hammarlund K., Nilsson G.E., Oberg P.A., et al. Transepidermal water loss in newborn infants. V. Evaporation from the skin and heat exchange during the first hours of life. Acta Paediatr Scand 69 (1980) 385-392
55. Anderson G.C., Moore E., Hepworth J., et al. Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database Syst Rev 2 (2003) CD003519
56. Fardig J.A. A comparison of skin-to-skin contact and radiant heaters in promoting neonatal thermoregulation. J Nurse Midwifery 25 (1980) 19-20
57. Watkinson M. Temperature control of premature infants in the delivery room. Clin Perinatol 33 (2006) 43-53
58. Vohra S., Frent G., Campbell V., et al. Effect of polyethylene occlusive skin wrapping on heat loss in very low birth weight infants at delivery. J Pediatr 134 (1999) 547-551
59. Vohra S., Roberts R.S., Zhang B., et al. Heat loss prevention (HeLP) in the delivery room: a randomized controlled trial of polyethylene occlusive skin wrapping in very preterm infants. J Pediatr 145 (2004) 750-753
60. Nielsen H.C., Jung A.L., and Atherton S.O. Evaluation of the Porta-Warm mattress as a source of heat for neonatal transport. An Pediatr (Barc) 58 (1976) 500-504
61. L'Herault J., Petroff L., and Jeffrey J. The effectiveness of a thermal mattress in stabilizing and maintaining body temperature during the transport of very low birth weight newborns. Appl Nurs Res 14 (2001) 210-219
62. Brennan A.B. Effect of sodium acetate transport mattress on admission temperatures of infants <1500 g. [master's thesis] (1996), University of Florida, Gainesville (FL)
63. Bergman N., Linley L.L., and Fawcus S.R. Randomized controlled trial of skin-to-skin contact from birth versus conventional incubator for physiological stabilization in 1200- to 2199-gram newborns. Acta Paediatr 93 (2004) 779-785
64. Shankaran S., and Laptook A.R. Hypothermia as a treatment for birth asphyxia. Clin Obstet Gynecol 50 (2007) 624-635
65. American Academy of Pediatrics and American College of Obstetricians and Gynecologists. Care of the neonate. In: Gilstrap L.C., and Oh W. (Eds). Guidelines of perinatal care. 5th edition (2002), American Academy of Pediatrics, Elk Grove Village (IL) 187-235
66. Sarnat H.B., and Sarnat M.S. Neonatal encephalopathy following fetal distress: a clinical and electroencephalographic study. Arch Neurol 33 (1976) 696-705
67. Thoresen M., Satas S., Puka-Sundvall M., et al. Post-hypoxic hypothermia reduces cerebrocortical release of NO and excitotoxins. Neuroreport 8 (1997) 3359-3362
68. Baldwin W.A., Kirsch J.R., Hurn P.D., et al. Hypothermic cerebral reperfusion and recovery from ischemia. Am J Physiol 261 (1991) H774-H781
69. Laptook A.R., Corbett R.J.T., Sterett R., et al. Modest hypothermia provides partial neuroprotection when used for immediate resuscitation after brain ischemia. Pediatr Res 42 (1997) 17-23
70. Gunn A.J., Gunn T.R., Gunning M.J., et al. Neuroprotection with prolonged head cooling started before postischemic seizures in fetal sheep. Pediatrics 102 (1998) 1098-1106
71. Gluckman P.D., Wyatt J.S., Azzopardi D., et al. Selective head cooling with mild systemic hypothermia after neonatal encephalopathy: multicentre randomised trial. Lancet 365 (2005) 663-670
72. Shakaran S., Laptook A.R., Ehrenkranz R.A., et al. Whole-body hypothermia for neonates with hypoxic-ischemic encephalopathy. N Engl J Med 353 (2005) 1574-1584
73. International Liaison Committee on Resuscitation. The International Committee on Resuscitation (ILCOR) consensus on science with treatment recommendations for pediatric and neonatal patients: neonatal resuscitation. Pediatrics 117 (2006) e978-e988
74. Available at: http://www.jointcommission.org/SentinelEvents/SentinelEventAlert/sea_30.htm. Accessed December 10, 2008.
75. Halamek L.P., Kaegi D.M., Gaba D.M., et al. Time for a new paradigm in pediatric medical education: teaching neonatal resuscitation in a simulated delivery room environment. Pediatrics 106 (2000) e45
76. Vento M., Aguar M., Leone T.A., et al. Using intensive care technology in the delivery room: a new concept for the resuscitation of extremely preterm neonates. Pediatrics 122 (2008) 1113-1116
77. Halamek L.P. The simulated delivery-room environment as the future modality for acquiring and maintaining skills in fetal and neonatal resuscitation. Semin Fetal Neonatal Med 13 (2008) 448-453
78. Halamek L.P. Simulation-based training: opportunities for the acquisition of unique skills. Virtual Mentor 8 (2006) 84-87. http://virtualmentor.ama-assn.org/2006/02/medu1-0602.html Available at: