Perinatal Physiology and Principles of Neonatal Resuscitation

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3 Scopus citations


Successful transition at birth is dependent on establishment of the lungs as the organ of gas exchange. The objective of this review is to provide a general overview of the events during transition at birth, pathophysiology of asphyxia, and response to resuscitation. The basic steps of neonatal resuscitation are establishment of airway, ventilation, and circulatory support. The controversy about the use of room air vs oxygen at birth for resuscitation is discussed. Special conditions that may be encountered during neonatal resuscitation include choanal atresia, pneumothorax, diaphragmatic hernia, meconium aspiration, and anemia. Finally, guidelines for discontinuing, withdrawing, and withholding resuscitative efforts are reviewed.

Original languageEnglish (US)
Pages (from-to)131-139
Number of pages9
JournalClinical Pediatric Emergency Medicine
Issue number3
StatePublished - Sep 1 2008
Externally publishedYes


  • neonatal resuscitation
  • newborn
  • oxygen

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Emergency Medicine


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