The 2015 American Heart Association Guidelines for CPR and Emergency Cardiovascular Care have been released. These guidelines serve as the foundation for the Neonatal Resuscitation Program (NRP). The neonatal resuscitation guidelines and algorithm have been printed in Circulation and reprinted in Pediatrics. The NRP has produced a document summarizing the changes in the guidelines. Some of the changes in recommendations for neonatal resuscitation include:
- non-vigorous newborns with meconium-stained fluid do not require routine intubation and tracheal suctioning
- cord clamping should be delayed for at least 30 to 60 seconds for most vigorous term and preterm newborns (insufficient evidence to support delayed cord clamping for newborns who require resuscitation)
- resuscitation for newborns >35 weeks gestation begins with room air
- if PPV is required, it is preferable to use a device that can provide PEEP
- intubation is strongly recommended prior to providing chest compressions
NRP 7th edition materials will be released in Spring 2016 and must be in use by January 1, 2017.