Resuscitation education for NICU providers: Current practice and recommendations for NRP and PALS in the NICU.

Semin Perinatol

Associate Professor of Pediatrics, Department of Pediatrics, Division of Neonatology, Children's Mercy-Kansas City, Kansas City, MO, USA. Electronic address:

Published: December 2024

AI Article Synopsis

  • The Neonatal Resuscitation Program (NRP) is widely used for resuscitating infants in the NICU, but the needs of these infants can be complex and may require additional resuscitation strategies.
  • Institutions might use additional algorithms like Pediatric Advanced Life Support (PALS) or a combination of NRP and PALS to meet these varied needs.
  • The article discusses challenges in applying these algorithms effectively in the NICU, highlights specific patient cases, and explores educational obstacles in resuscitation training for healthcare providers.

Article Abstract

The Neonatal Resuscitation Program (NRP) is the most used resuscitation algorithm for infants requiring resuscitation in the neonatal intensive care unit (NICU). The population of infants cared for in the NICU is varied and complex with resuscitation needs that may extend beyond the NRP algorithm. To provide resuscitation care that addresses these needs, institutions may choose to incorporate algorithms from the Pediatric Advanced Life Support or a "hybrid" approach that includes NRP. Limited evidence exists to support one algorithm or approach over another. In this article, we identify potential gaps in the application of using NRP or PALS in the NICU population, present select patient decompensations and discuss the resuscitation management approach using the NRP or PALS algorithms. Challenges associated with NICU resuscitation education will be explored as well as approaches to overcome some of the identified resuscitation education obstacles.

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Source
http://dx.doi.org/10.1016/j.semperi.2024.151991DOI Listing

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