Neonatal Resuscitation

Publication Date: November 14, 2019

Updated Recommendations

In term and late-preterm newborns (≥35 weeks of gestation) receiving respiratory support at birth, the initial use of 21% oxygen is reasonable.
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One hundred percent oxygen should not be used to initiate resuscitation because it is associated with excess mortality.
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In preterm newborns (<35 weeks of gestation) receiving respiratory support at birth, it may be reasonable to begin with 21% to 30% oxygen with subsequent oxygen titration based on pulse oximetry.
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Recommendation Grading

Disclaimer

Overview

Title

Neonatal Resuscitation

Authoring Organization

Publication Month/Year

November 14, 2019

Document Type

Guideline

External Publication Status

Published

Country of Publication

US

Document Objectives

The recommendations for neonatal resuscitation are as follows: In term and late-preterm newborns (≥35 weeks of gestation) receiving respiratory support at birth, the initial use of 21% oxygen is reasonable. One hundred percent oxygen should not be used to initiate resuscitation because it is associated with excess mortality. In preterm newborns (<35 weeks of gestation) receiving respiratory support at birth, it may be reasonable to begin with 21% to 30% oxygen and to base subsequent oxygen titration on oxygen saturation targets. 

Inclusion Criteria

Female, Male, Infant

Health Care Settings

Emergency care, Hospital

Intended Users

Nurse, nurse practitioner, physician, physician assistant

Scope

Treatment

Diseases/Conditions (MeSH)

D015931 - Intensive Care, Neonatal

Keywords

neonatal respiratory distress, neonatal, late preterm, preterm, term

Source Citation

2019 American Heart Association Focused Update on Neonatal Resuscitation: An Update to the American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care
Marilyn B. Escobedo, MD, Chair, Khalid Aziz, MA, MEd, Vishal S. Kapadia, MD, Henry C. Lee, MD, Susan Niermeyer, MD, MPH, Georg M. Schmölzer, MD, PhD, Edgardo Szyld, MD, Gary M. Weiner, MD, Myra H. Wyckoff, MD, Nicole K. Yamada, MD, MS, Jeanette G. Zaichkin, RN, MN, NNP-BC