Neonatal Resuscitation

R Kishore Kumar, P.C. Nayana Prabha
History Of Neonatal Resuscitation
Neonatal resuscitation was first attempted in the 18th century, though there are multiple references to adult cardiopulmonary resuscitation in the Bible prior to that. Much of the early resuscitation techniques involved shaking, hitting, swinging, electrocuting, hanging upside-down to applying gentle pressures or squeezing of the chest. (1) The late 18th century saw the construction of the first ventilator which was a major landmark in the evolution of neonatal resuscitation (2). Further research in physiology and biomedical technology paved the way for newer strategies in improving neonatal resuscitation, but much of the advances occurred much later, in the 1950s (2). Neonatal resuscitation will be needed in less than 10% of all deliveries and approximately 1% may require intensive resuscitative efforts (3).

It was the seminal work by Virginia Apgar which reoriented the delivery room focus to include neonates. She devised the Apgar score which was published in 1953 (4). In the mid- 1970s the National Institute of Health funded a few projects to improve neonatal education in the community hospitals of USA. This resulted in a series of educational modules, slide tapes, and videotapes which was called the Neonatal Education Program (NEP) (5). In the 1980s, the American Academy of Pediatrics (AAP) established the Resuscitation of the Newborn Task Force with the goal of having a trained professional at every delivery. Building on the basic tenets of NEP, the first Neonatal Resuscitation Program (NRP) textbook was published by the taskforce in 1987 in consultation with the American Heart Association (AHA) (5, 6).

Neonatal Resuscitation Neonatal Resuscitation 03/18/2016
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