Epinephrine Use during Newborn Resuscitation

被引:26
作者
Kapadia, Vishal S. [1 ]
Wyckoff, Myra H. [1 ]
机构
[1] Univ Texas Southwestern Med Ctr Dallas, Pediat, Dallas, TX 75390 USA
关键词
epinephrine; neonatal resuscitation; asphyxia; newborn; delivery room; infants; HIGH-DOSE EPINEPHRINE; ROOM CARDIOPULMONARY-RESUSCITATION; EMERGENCY CARDIOVASCULAR CARE; ASPHYXIAL CARDIAC-ARREST; DELIVERY ROOM; NEONATAL RESUSCITATION; TREATMENT RECOMMENDATIONS; ENDOTRACHEAL EPINEPHRINE; INTERNATIONAL CONSENSUS; MYOCARDIAL-PERFUSION;
D O I
10.3389/fped.2017.00097
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Epinephrine use in the delivery room for resuscitation of the newborn is associated with significant morbidity and mortality. Evidence for optimal dose, timing, and route of administration of epinephrine during neonatal resuscitation comes largely from extrapolated adult or animal literature. In this review, we provide the current recommendations for use of epinephrine during neonatal resuscitation and also the evidence behind these recommendations. In addition, we review the current proposed mechanism of action of epinephrine during neonatal resuscitation, review its adverse effects, and identify gaps in knowledge requiring urgent research.
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页数:8
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