[Newborn resuscitation and support of transition of infants at birth]

[Article in German]

John Madar¹, Charles C Roehr^{2

3

4}, Sean Ainsworth⁵, Hege Ersda^{6

7}, Colin Morley^{8

9}, Mario Rüdiger^{10

11}, Christiane Skåre¹², Tomasz Szczapa¹³, Arjan Te Pas¹⁴, Daniele Trevisanuto¹⁵, Berndt Urlesberger¹⁶, Dominic Wilkinson^{17

18

19}, Jonathan P Wyllie^{20

21}

Affiliations

¹ Department of Neonatology, University Hospitals Plymouth, Plymouth, Großbritannien.
² Newborn Services, John Radcliffe Hospital, Oxford University Hospitals, Oxford, Großbritannien.
³ Department of Paediatrics, Medical Sciences Division, University of Oxford, Oxford, Großbritannien.
⁴ Nuffield Department of Population Health, National Perinatal Epidemiology Unit, Medical Sciences Division, University of Oxford, Oxford, Großbritannien.
⁵ Directorate of Women's & Children's Services, Victoria Hospital, Kirkcaldy, Großbritannien.
⁶ Department of Anaesthesiology & Intensive Care, Stavanger University Hospital, Stavanger, Norwegen.
⁷ Faculty of Health Sciences, University of Stavanger, Stavanger, Norwegen.
⁸ University of Melbourne, Melbourne, Australien.
⁹ Honorary Lecturer Department of Obstetrics, University of Cambridge, Cambridge, Großbritannien.
¹⁰ Abteilung für Neonatologie und Pädiatrische Intensivmedizin, Klinik und Poliklinik für Kinder- und Jugendmedizin, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Deutschland.
¹¹ Center for Feto-Neonatal Health, Technische Universität Dresden, Dresden, Deutschland.
¹² Department of Anesthesiology, Oslo University Hospital, Oslo, Norwegen.
¹³ Department of Neonatology, Neonatal Biophysical Monitoring and Cardiopulmonary Therapies Research Unit, Poznan University of Medical Sciences, Poznan, Polen.
¹⁴ Department of Paediatrics, Division of Neonatology, Leiden University Medical Center, Leiden, Niederlande.
¹⁵ Department of Woman's and Child's Health, University Hospital of Padova, Padova, Italien.
¹⁶ Abteilung für Neonatologie, Medizinische Universität Graz, Graz, Österreich.
¹⁷ Oxford Uehiro Centre for Practical Ethics, Faculty of Philosophy, University of Oxford, Oxford, Großbritannien.
¹⁸ John Radcliffe Hospital, Oxford, Großbritannien.
¹⁹ Murdoch Children's Research Institute, Melbourne, Australien.
²⁰ James Cook University Hospital, Middlesbrough, Großbritannien.
²¹ Resuscitation Council UK, London, Großbritannien.

PMID: 34093078
PMCID: PMC8170636
DOI: 10.1007/s10049-021-00894-w

Review

[Newborn resuscitation and support of transition of infants at birth]

[Article in German]

John Madar et al. Notf Rett Med. 2021.

. 2021;24(4):603-649.

doi: 10.1007/s10049-021-00894-w. Epub 2021 Jun 2.

Authors

Affiliations

¹ Department of Neonatology, University Hospitals Plymouth, Plymouth, Großbritannien.
² Newborn Services, John Radcliffe Hospital, Oxford University Hospitals, Oxford, Großbritannien.
³ Department of Paediatrics, Medical Sciences Division, University of Oxford, Oxford, Großbritannien.
⁴ Nuffield Department of Population Health, National Perinatal Epidemiology Unit, Medical Sciences Division, University of Oxford, Oxford, Großbritannien.
⁵ Directorate of Women's & Children's Services, Victoria Hospital, Kirkcaldy, Großbritannien.
⁶ Department of Anaesthesiology & Intensive Care, Stavanger University Hospital, Stavanger, Norwegen.
⁷ Faculty of Health Sciences, University of Stavanger, Stavanger, Norwegen.
⁸ University of Melbourne, Melbourne, Australien.
⁹ Honorary Lecturer Department of Obstetrics, University of Cambridge, Cambridge, Großbritannien.
¹⁰ Abteilung für Neonatologie und Pädiatrische Intensivmedizin, Klinik und Poliklinik für Kinder- und Jugendmedizin, Universitätsklinikum Carl Gustav Carus Dresden, Dresden, Deutschland.
¹¹ Center for Feto-Neonatal Health, Technische Universität Dresden, Dresden, Deutschland.
¹² Department of Anesthesiology, Oslo University Hospital, Oslo, Norwegen.
¹³ Department of Neonatology, Neonatal Biophysical Monitoring and Cardiopulmonary Therapies Research Unit, Poznan University of Medical Sciences, Poznan, Polen.
¹⁴ Department of Paediatrics, Division of Neonatology, Leiden University Medical Center, Leiden, Niederlande.
¹⁵ Department of Woman's and Child's Health, University Hospital of Padova, Padova, Italien.
¹⁶ Abteilung für Neonatologie, Medizinische Universität Graz, Graz, Österreich.
¹⁷ Oxford Uehiro Centre for Practical Ethics, Faculty of Philosophy, University of Oxford, Oxford, Großbritannien.
¹⁸ John Radcliffe Hospital, Oxford, Großbritannien.
¹⁹ Murdoch Children's Research Institute, Melbourne, Australien.
²⁰ James Cook University Hospital, Middlesbrough, Großbritannien.
²¹ Resuscitation Council UK, London, Großbritannien.

PMID: 34093078
PMCID: PMC8170636
DOI: 10.1007/s10049-021-00894-w

Abstract
in English, German

The European Resuscitation Council has produced these newborn life support guidelines, which are based on the International Liaison Committee on Resuscitation (ILCOR) 2020 Consensus on Science and Treatment Recommendations (CoSTR) for Neonatal Life Support. The guidelines cover the management of the term and preterm infant. The topics covered include an algorithm to aid a logical approach to resuscitation of the newborn, factors before delivery, training and education, thermal control, management of the umbilical cord after birth, initial assessment and categorisation of the newborn infant, airway and breathing and circulation support, communication with parents, considerations when withholding and discontinuing support.

Die vorliegenden Leitlinien des European Resuscitation Council zur Versorgung und Reanimation des Neugeborenen nach der Geburt beruhen auf dem International Liaison Committee on Resuscitation (ILCOR) 2020 Consensus on Science and Treatment Recommendations (CoSTR) for Neonatal Life Support (NLS). Sie beinhalten Empfehlungen zur Versorgung und Reanimation des reifen Neugeborenen und zur Stabilisierung des Frühgeborenen. Sie umfassen den aktualisierten Algorithmus zur Reanimation des Neugeborenen, die Vorbereitungen vor der Versorgung eines Neugeborenen, die Themen Training und Ausbildung, Wärmemanagement, Empfehlungen zum Abnabeln, die initiale Beurteilung und Einschätzung des Neugeborenen, das Atemwegsmanagement, inklusive einer Notfallbeatmung, und die Kreislaufunterstützung im Falle einer vollen Reanimation. Darüber hinaus finden sich Empfehlungen zur Kommunikation mit den Eltern und ethische Überlegungen, in welchen Situationen erwogen werden soll, auf Reanimationsmaßnahmen zu verzichten bzw. Reanimationsmaßnahmen nicht fortzuführen.

Zusatzmaterial online: Zusätzliche Informationen sind in der Online-Version dieses Artikels (10.1007/s10049-021-00894-w) enthalten.

Keywords: Chest Compressions; Newborn Resuscitation; Stabilisation; Vascular Access; Ventilation.

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Conflict of interest statement

InteressenkonfliktC.C. Roehr declares speaker honorarium from Chiesi and funding from the National Institute for Health Research. J. Madar declares occasional advice to Laerdal Medical and Brayden on Newborn Resuscitation Equipment. H. Ersda declares research funding for Safer Births project from Laerdal foundation, Governmental, World Bank, Global Financing Facility and Laerdal Global Health. C. Morley declares honorarium from Dräger and Chiesi, and his role of consultant for Fisher and Paykel and Laerdal. T. Szczapa declares educational funding from GE and Chiesi. C. Skåre declares funding from Government and ZOLL foundation. A. te Pas is science advisor for CONCORD neonatal; he is patent holder of the Concord resuscitation table. M. Rüdiger declares his role of consultant for surfactant study Chiesi. J.P. Wyllie declares NIH grant as coapplicant for “Baby-OSCAR” project. S. Ainsworth, D. Trevisanuto, B. Urlesberger and D. Wilkinson declare that they have no competing interests. [Stand 10. Mai, Originalartikel in Resucitation]

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References

Literatur

Verwendete Literatur

1. Wyckoff MH, Wyllie J, Aziz K, et al. Neonatal life support 2020 international consensus on cardiopulmonary resuscitation and emergency cardiovascular care science with treatment recommendations. Resuscitation. 2020;156:A156–A187. doi: 10.1016/j.resuscitation.2020.09.015. - DOI - PubMed
1. Perkins GD, Graesner JT, Semeraro F, et al. European Resuscitation Council guidelines 2021—executive summary. Resuscitation. 2021;161:1–60. doi: 10.1016/j.resuscitation.2021.02.003. - DOI - PubMed
1. Nolan JP, Monsieurs KG, Bossaert L, et al. European Resuscitation Council COVID-19 guidelines executive summary. Resuscitation. 2020;153:45–55. doi: 10.1016/j.resuscitation.2020.06.001. - DOI - PMC - PubMed
1. Perkins GD, Morley PT, Nolan JP, et al. International Liaison Committee on Resuscitation: COVID-19 consensus on science, treatment recommendations and task force insights. Resuscitation. 2020;151:145–147. doi: 10.1016/j.resuscitation.2020.04.035. - DOI - PMC - PubMed
1. Couper K, Taylor-Phillips S, Grove A, et al. COVID-19 in cardiac arrest and infection risk to rescuers: a systematic review. Resuscitation. 2020;151:59–66. doi: 10.1016/j.resuscitation.2020.04.022. - DOI - PMC - PubMed

Weiterführende Literatur

1. Bottoms SF, Paul RH, Mercer BM, et al. Obstetric determinants of neonatal survival: antenatal predictors of neonatal survival and morbidity in extremely low birth weight infants. Am J Obstet Gynecol. 1999;180(3 Pt 1):665–669. doi: 10.1016/S0002-9378(99)70270-X. - DOI - PubMed
1. Brumbaugh JE, Hansen NI, Bell EF, et al. Outcomes of extremely preterm infants with birth weight less than 400 g. JAMA Pediatr. 2019;173(5):434–445. doi: 10.1001/jamapediatrics.2019.0180. - DOI - PMC - PubMed
1. Costeloe KL, Hennessy EM, Haider S, Stacey F, Marlow N, Draper ES. Short term outcomes after extreme preterm birth in England: comparison of two birth cohorts in 1995 and 2006 (the EPICure studies) BMJ. 2012;345:e7976. doi: 10.1136/bmj.e7976. - DOI - PMC - PubMed
1. Mactier H, Bates SE, Johnston T, et al. Perinatal management of extreme preterm birth before 27 weeks of gestation: a framework for practice. Arch Dis Child Fetal Neonatal Ed. 2020;105(3):232–239. doi: 10.1136/archdischild-2019-318402. - DOI - PubMed
1. Manktelow BN, Seaton SE, Field DJ, Draper ES. Population-based estimates of in-unit survival for very preterm infants. Pediatrics. 2013;131(2):e425–e432. doi: 10.1542/peds.2012-2189. - DOI - PubMed

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