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Should very prem babies be given CPR?

2 Aug, 09 | by Bob Phillips

A premature baby born at 24 weeks gestational age is admitted to the neonatal unit having been born in poor condition and receiving cardio-pulmonary resuscitation (CPR) with adrenaline in the delivery room. Considering the available evidence, is the use of CPR at delivery of extremely premature infants associated with very poor outcomes such that CPR in these infants may be inappropriate? Does the administration of CPR provide these infants with a chance of survival free of disability?

Like lots of critical care questions, the ‘clinical’ evidence will need to be weighed with lots of ethical consideration and moral fibre. Having said that, if something requires a mix of fact, opinion and belief we do need to know the ‘fact’ bit as good as possible to make that balance effective.

What opinions exist out there - about the evidence, rather than just recitation of guideline statements?

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