You don't need to be signed in to read BMJ Blogs, but you can register here to receive updates about other BMJ products and services via our site.

Q: Should very prem babies be given CPR?

21 Feb, 10 | by Bob Phillips

So it’s all ethical stuff at the moment. Does the following question reach a point where evidence no longer has a role?

“A premature baby born at 24 weeks gestational age is admitted to the neonatal unit having been born apnoeic, floppy, blue and without a heart rate. After cardio-pulmonary resuscitation (CPR) with adrenaline in the delivery room, a heart rate was noted. Is CPR in these infants inappropriate? What is the chance of survival and risk of disability?

So … if there is one survivor, does this mean we should undertake CPR? If there are currently no survivors – because we don’t often do it, or because we have to think about the past and how it might not have been as good – should we do it anyway? And does survival with a disability or without one matter anyway?

Can evidence help this question at all?

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

By submitting your comment you agree to adhere to these terms and conditions
You can follow any responses to this entry through the RSS 2.0 feed.
ADC blog homeapage

ADC Online

Education, debate, and meandering thoughts on child health, using evidence and research.Visit site

Creative Comms logo

Latest from Archives of Disease in Childhood

Latest from Archives of Disease in Childhood