A critical review of the 2020 International Liaison Committee on Resuscitation treatment recommendations for resuscitating the newly born infant

Acta Paediatr. 2021 Apr;110(4):1107-1112. doi: 10.1111/apa.15754. Epub 2021 Jan 20.

Abstract

The 2020 recommendations from the International Liaison Committee on Resuscitation are an improved version of the 2015 version. The algorithm and 15 procedures are unchanged from 2015, but there are six procedures with new or changed recommendations. One new recommendation is briefing/debriefing following neonatal resuscitation. Procedures with changed suggestions/recommendations are as follows: suctioning of non-vigorous infants delivered through meconium-stained amniotic fluid, sustained inflation of preterm infants, optimising epinephrine (adrenaline), vascular access and discontinuing resuscitative efforts. CONCLUSION: In this review, we summarise the present recommendations and offer additional comments and views regarding heart rate detection, cord clamping, oxygenation and thermal control.

Keywords: ILCOR; guidelines; newborn infants; resuscitation.

Publication types

  • Review

MeSH terms

  • Epinephrine
  • Humans
  • Infant
  • Infant, Newborn
  • Infant, Premature*
  • Resuscitation*
  • Suction

Substances

  • Epinephrine