In October 2020, the neonatal resuscitation science update was published with several new treatment guidelines. The changes are based on an extensive review of literature using the GRADE process, addressing 22 topics. Topics for the review of interest include initial oxygen concentration for term and preterm infants, suctioning for clear and meconium-stained liquor, use of sustained lung inflation for ventilation, appropriate route for drug delivery, and extent of duration of resuscitation.
EscobedoMB, AzizK, KapadiaVS, 2019American Heart Association focused update on neonatal resuscitation: an update to the American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. December 10, 2019;140(24):e922-e930.
2.
SchünemannH, BrożekJ, GuyattG, OxmanA. 5.1 factors determining the quality of evidence. In: GRADE Handbook. 2013. http://www.guidelinedevelopment.org/handbook/. Accessed December 2020.
3.
ErsdalHL, LindeJ, MdumaE, AuestadB, PerlmanJ.Neonatal outcome following cord clamping after onset of spontaneous respiration. Pediatrics. 2014;134:265-272.
4.
PerlmanJM, WyllieJ, KattwinkelJ, , on behalf of the Neonatal Resuscitation Chapter Collaborators. Part 11: neonatal resuscitation: 2010 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Circulation. 2010;122(Suppl 2):S516-S538.
5.
WyllieJ, PerlmanJM, KattwinkelJ, , on behalf of the Neonatal Resuscitation Chapter Collaborators. Part 11: neonatal resuscitation: 2010 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Resuscitation. 2010;81(Suppl 1):e260-e287.
6.
PerlmanJM, WyllieJ, KattwinkelJ, . Neonatal Resuscitation Chapter Collaborators. Neonatal resuscitation: 2010 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Pediatrics. 2010;126:e1319-e1344.
7.
HalamekLP, CadyRAH, SterlingMR. Using briefing, simulation, and debriefing to improve human and system performance. Semin Perinatol. 2019;43(8):151178.
8.
WyckoffMH, AzizK, EscobedoMB, . Neonatal Research Network. Admission temperature of low birth weight infants: predictors and associated morbidities. Pediatrics. 2007;119(3):e643-e649.
9.
SimonWM, WeinerGM, ZaichkinJG.Part 13: neonatal resuscitation: 2015 American Heart Association guidelines update for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2015;132(Suppl 2):S543-S560.
10.
TrevisanutoD, StrandML, KawakamiMD, , on behalf ofInternational Liaison Committee on Resuscitation Neonatal Life Support Task Force. Tracheal suctioning of meconium at birth for nonvigorous infants: a systematic review and meta-analysis. Resuscitation. 2020;149:117-126.
11.
ChettriS, AdhisivamB, BhatBV.Endotracheal suction for nonvigorous neonates born through meconium stained amniotic fluid: a randomized controlled trial. J Pediatr. 2015;166:1208-1213.e1.
12.
NangiaS, SunderS, BiswasR, SailiA.Endotracheal suction in term nonvigorous meconium stained neonates: a pilot study. Resuscitation. 2016;105:79-84.
13.
SinghSN, SaxenaS, BhriguvanshiA, KumarM, SujataC.Effect of endotracheal suctioning just after birth in nonvigorous infants born through meconium stained amniotic fluid: a randomized controlled trial. Clin Epidemiol Global Health. 2019;7:165-170.
14.
RoehrCC, DavisPG, WeinerGM, WyllieJ, WyckoffMH, TrevisanutoD.T-piece resuscitator or self-inflating bag during neonatal resuscitation: a scoping review [published online June 11, 2020]. Pediatr Res. doi: 10.1038/s41390-020-1005-4.
15.
KapadiaVS, UrlesbergerB, SoraishamA, , on behalf ofInternational Liaison Committee on Resuscitation Neonatal Life Support Task Force. Sustained lung inflations during neonatal resuscitation at birth: a meta-analysis. Pediatrics. 2021;147(1).
16.
WelsfordM, NishiyamaC, ShorttC, , on behalf of International Liaison Committee on Resuscitation Neonatal Life Support Task Force. Initial oxygen use for preterm newborn resuscitation: a systematic review with meta-analysis. Pediatrics. 2019;143(1):e20181828.
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WelsfordM, NishiyamaC, ShorttC, , on behalf ofInternational Liaison Committee on Resuscitation Neonatal Life Support Task Force. Room air for initiating term newborn resuscitation: a systematic review with meta-analysis. Pediatrics. 2019;143(1):e20181825.
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IsayamaT, MildenhallM, SchmölzerGM, , on behalf of International Liaison Committee on Resuscitation Newborn life Support Task Force. The route, dose, and interval of epinephrine for neonatal resuscitation: a systematic review. Pediatrics. 2020;146(4):e20200586.
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FogliaEE, WeinerGL, de AlmeidaMFB, , on behalf ofthe International Liaison Committee on Resuscitation Neonatal Life Support Task Force. Duration of resuscitation at birth, mortality, and neurodevelopment: a systematic review. Pediatrics. 2020;146:e20201449.