Chapter 59
- Resuscitation of the Newborn
- George A. Gregory
Profound changes must occur in the cardiovascular and respiratory
systems at birth if neonates are to make a successful transition to extrauterine
life. Failure to successfully make these changes often results in death or central
nervous system (CNS) injury. Because of these problems, everyone working in the
operating room must be fully trained in and experienced with neonatal resuscitation.
Someone capable of performing neonatal resuscitation must be present at every delivery.
This is often the anesthesiologist. Although less than 10% of neonates require
active resuscitation, wasting time finding someone who can effectively resuscitate
the neonate may be disastrous for the neonate. Consequently, effective resuscitation
must be initiated while help is sought. This chapter discusses the causes and effects
of cardiorespiratory insufficiency at birth and the techniques of resuscitation.
When possible, the recommendations of the American Academy of Pediatrics have been
followed.
