Discuss recent advances in management of an asphyxiated
neonate.
Recent advances in managing asphyxiated neonates include optimizing initial resuscitation steps and improving respiratory support strategies.
Umbilical Cord Management: Recent studies have focused on umbilical cord milking and delayed cord clamping, which may provide benefits for asphyxiated neonates ¹. However, more research is needed to confirm the optimal approach.
Heart Rate Assessment: The use of electrocardiography (ECG) for continuous heart rate monitoring during resuscitation has been recommended since 2015 ¹. However, pulseless electrical activity, where there is electrical activity without mechanical activity, has been reported, highlighting the need for combined assessment methods.
Respiratory Support: Advances in mask ventilation techniques, such as the use of nasal cannulae and laryngeal mask airways (LMAs), have shown promise in improving respiratory support ¹. Sustained inflation and the use of an oropharyngeal airway are also being explored.
Structured Approach: The MR. SOPA (Mask adjustment, Reposition airway, Suction mouth and nose, Open mouth, Pressure increase, and Alternate airway) approach provides a framework for escalating care during resuscitation ¹.
These advances aim to improve outcomes for asphyxiated neonates by optimizing initial resuscitation steps and respiratory support strategie