Chest Compression and Sustained Inflation
Newborn Infants Having Asystole or Bradycardia at Birth
About this trial
This is an interventional treatment trial for Newborn Infants Having Asystole or Bradycardia at Birth focused on measuring Chest compression, Delivery Room, NICU,
Eligibility Criteria
Inclusion Criteria:
Newborn infants with asystole Newborn infants with bradycardia
Exclusion Criteria:
-
Sites / Locations
- Royal Alexandra Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
SI+CC
3:1 CPR
Chest compression will be superimposed by sustained inflations during CPR: "CC+SI group" Infants randomized in the SI group requiring CC, would receive CC at a rate of 90/min during an SI with a duration of 20sec (CC+SI). After 20 sec the SI will be interrupted for 1 sec and the next SI will be started for another 20sec13. Throughout this time CC is continued until ROSC. Every 45 sec (approximately 2 SIs) the clinical team would assess for changes in heart rate. CC+SI was continued until ROSC.
CPR using 3:1 C:V ratio: "3:1 C:V group" Infants randomized into the "3:1 group" requiring CC, would received CC using the current 3:1 C:V ratio recommend in the neonatal resuscitation guidelines16. Every 45 sec the clinical team would assess heart rate. 3:1 C:V CPR was continued until ROSC.