Thirty years experience of a national program for resuscitation of asphyctic new-born infants in Sweden

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In 1970 a national program for resuscitation of new-born infants was established. This has than been revised 3 times last in the year 1997. The fundamental principles of the program have however remained unchanged. These are: Restricted use of oropharyngeal suction, in case of absent spontaneous breathing assisted ventilation is started 30-60 sec after birth by bag and mask ventilation using a soft round face mask and a selfexpanding bag. Assessment of the effectiveness of assisted ventilation is made by recording heart rate. In case heart rate is > 100 beats / min. the ventilation procedure is unchanged and continued until regular spontaneous breathing occurs. Only in cases with persistent bradycardia more than 2 min. after birth ventilation using endotracheal intubation is used.

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