Drugs during delivery room resuscitation--what, when and why?

Abstract

Although seldom needed, the short list of medications used for delivery room resuscitation of the newborn includes epinephrine and volume expanders. Naloxone, sodium bicarbonate and the use of other vasopressors are no longer considered helpful during acute resuscitation and are more often administered in the post-resuscitative period under special circumstances. This review examines the existing literature for the two commonly used medications in neonatal resuscitation and identifies the many knowledge gaps requiring further research.

Keywords: Adrenaline; Asphyxia; Cardiopulmonary resuscitation; Epinephrine; Neonatal resuscitation; Volume infusion.