Management of Extremely Low Birth Weight Infants in Delivery Room

被引:5
作者
Nosherwan, Asma [1 ,2 ]
Cheung, Po-Yin [1 ,2 ]
Schmolzer, Georg M. [1 ,2 ]
机构
[1] Royal Alexandra Hosp, Ctr Studies Asphyxia & Resuscitat, 10240 Kingsway Ave Northwest, Edmonton, AB T5H 3V9, Canada
[2] Univ Alberta, Dept Pediat, 116 St & 85 Ave, Edmonton, AB T6G 2R3, Canada
关键词
Infants; Newborn; Neonatal resuscitation; Very low birth weight infants; FUNCTIONAL RESIDUAL CAPACITY; IMMEDIATE NEONATAL TRANSITION; CARDIOVASCULAR CARE SCIENCE; TISSUE OXYGEN-SATURATION; END-EXPIRATORY PRESSURE; UMBILICAL-CORD MILKING; PRETERM INFANTS; SUSTAINED INFLATION; HEART-RATE; CARDIOPULMONARY-RESUSCITATION;
D O I
10.1016/j.clp.2017.01.004
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Extremely low birth weight (ELBW) infants are particularly vulnerable at birth, and stabilization in the delivery room (DR) remains challenging. After birth, ELBW infants are at high risk for the development of thermal dysregulation, respiratory insufficiency, and hemodynamic instability due to their immature physiology and anatomy. Although successful stabilization facilitates the transition and reduces acute morbidity, suboptimal care in the DR could cause long-term sequelae. This review addresses the challenges in stabilization in the DR and current neonatal resuscitation guidelines and recommendations.
引用
收藏
页码:361 / +
页数:16
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