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At our recent annual convention, Jeannette Zaichkins (2005) shared how neonatal resuscitation management may change in the near future. For the past two years, the International Liaison Committee on Resuscitation (ILCOR) Neonatal Delegation have reviewed, studied and sought to answer eight questions concerning neonatal resuscitation issues. The ILCORs final recommendations will be published in the December 2005 issue of Pediatrics as well as posted on the NRP website (www.aap.org/nrp).
As much as Jeannette wanted to reveal their final recommendations, at this time she was not at liberty to reveal "their final answers". However, what she could share was the 8 investigational questions. While she suggested what might evolve, she cautioned us that we really needed to wait to see what is published. So to prevent potential confusion, I will not suggest any potential changes. The questions alone will help us all begin to consider the possibilities.
- "What is the appropriate role of supplemental oxygen in neonatal resuscitation?"
- "What is the appropriate management of the baby born when there is meconium in the amniotic fluid?"
- "What ventilation strategies should be employed in assisting or initiating respirations in newborns who are not spontaneously breathing effectively?"
- "What role should CO2 detectors play in confirming endotracheal tube placement?"
- "What medications should be used in neonatal resuscitation, and how should they be given?"
- "What strategies should be used to maintain body temperature during resuscitation of preterm neonates?"
- "What precautions or therapies are indicated during the post-resuscitation period?"
- "What guidelines are appropriate for withholding resuscitation efforts that are judged to be unsuccessful." (American Heart Association and the American Academy of Pediatrics, 2005, p. 5).
References:
American Heart Association and American Academy of Pediatrics. (2005). ILCOR consensus on science debated and reached. NRP Instructor Update, 14(1), 1, 5.
Zaichkins, J. (2005, June). NRP 2006: What are the Possibilities? Presentation at AWHONN 2005 Convention, Salt Lake City, Utah.
Submitted by: Colleen Whatley, MS, RN, Dartmouth-Hitchcock Medical Center, Lebanon, NH | | | | Page: Index | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | | | to top | | | | | | |
