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Pediatric resuscitation.

机译：小儿复苏。

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PURPOSE OF REVIEW: The new International Liaison Committee on Resuscitation documents, published in 2005, include important changes in pediatric resuscitation. Some issues that were left pending have since been supplemented with new studies. Their impact will be discussed here. RECENT FINDINGS: Studies on oxygen use for neonatal resuscitation have consistently found room air to be superior to 100% oxygen. Prospective studies indicate that intubation by first responders in preclinical resuscitation of children is dangerous and should probably be avoided. New studies point to a better neurological outcome with hypothermia in neurologically depressed neonates after perinatal asphyxia. SUMMARY: Resuscitation of 'depressed' near-term neonates should be started with an oxygen content of less than 100%, and only change to 100% if the child remains bradycardic and cyanotic. A neonate who can be resuscitated with room air will receive no benefit from 100% oxygen and may even have a worse outcome. If the first responder in a pediatric emergency is out of training with pediatric intubation he or she should feel reassured that resuscitation without an attempt at endotracheal intubation is acceptable. Presently, hypothermia in neonates after birth asphyxia should be used within controlled studies, or at least follow the protocols of published studies and be performed in specialized centers.
机译：审查目的：新的国际复苏联络委员会文件于2005年发布，其中包括儿科复苏的重要变化。此后，一些尚待解决的问题得到了新的研究的补充。他们的影响将在这里讨论。最近的发现：新生儿复苏中使用氧气的研究一直发现，室内空气优于100％的氧气。前瞻性研究表明，急救人员在对儿童进行临床前复苏时进行插管是危险的，应避免使用。新的研究表明，围产期窒息后神经功能低下的新生儿，低温可以改善神经系统的预后。简介：应对“沮丧的”近期新生儿进行复苏时，其氧含量应低于100％，并且只有在孩子仍处于心动过缓和发otic的状态时，才应恢复为100％。可以用室内空气复苏的新生儿不会从100％的氧气中受益，甚至可能会有更糟的结果。如果小儿急诊中的第一反应者没有接受小儿插管的培训，他或她应该放心，接受复苏而无需尝试气管插管是可以接受的。目前，新生儿窒息后的体温过低应在对照研究中使用，或至少遵循已发表研究的规程并在专门中心进行。

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