<p>Full cardiopulmonary resuscitation of a&#xa0;newborn, including ventilation, chest compressions and drug administration, is an extremely rare event that can present challenges even for experienced neonatal teams. In these rare and often dramatic situations, rapid yet well-coordinated team action is crucial.</p><p>The most effective and in most cases also the only necessary intervention for the successful stabilization of a&#xa0;non-breathing newborn is is still an adequate non-invasive ventilation (e.g. via face mask). When performed effectively, chest compressions, administration of adrenaline or tracheal intubation are only required in exceptional cases.</p><p>On 22&#xa0;October 2025 the European Resuscitation Council (ERC) published the new guidelines on neonatal resuscitation. This article represents an update of the paper published in 2021 by the same authors. Based on the current guidelines, it describes the recommended sequence of actions for the stabilization and resuscitation of term newborn infants immediately after birth. Changes compared with the 2021 recommendations are highlighted throughout the article.</p><p>This article is primarily aimed at non-neonatologists responsible for the immediate postnatal care of newborn infants. It is also intended to support those who train healthcare professionals in the management of critically ill newborns and use the neonatal resuscitation algorithm as a&#xa0;didactic framework for teaching and simulation.</p>

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Versorgung und Reanimation des reifen Neugeborenen nach der Geburt

  • J. Schwindt,
  • B. Grass,
  • S. Schäfer,
  • F. Hoffmann,
  • P. Deindl,
  • E. M. Schwindt,
  • M. Wald,
  • M. Schroth

摘要

Full cardiopulmonary resuscitation of a newborn, including ventilation, chest compressions and drug administration, is an extremely rare event that can present challenges even for experienced neonatal teams. In these rare and often dramatic situations, rapid yet well-coordinated team action is crucial.

The most effective and in most cases also the only necessary intervention for the successful stabilization of a non-breathing newborn is is still an adequate non-invasive ventilation (e.g. via face mask). When performed effectively, chest compressions, administration of adrenaline or tracheal intubation are only required in exceptional cases.

On 22 October 2025 the European Resuscitation Council (ERC) published the new guidelines on neonatal resuscitation. This article represents an update of the paper published in 2021 by the same authors. Based on the current guidelines, it describes the recommended sequence of actions for the stabilization and resuscitation of term newborn infants immediately after birth. Changes compared with the 2021 recommendations are highlighted throughout the article.

This article is primarily aimed at non-neonatologists responsible for the immediate postnatal care of newborn infants. It is also intended to support those who train healthcare professionals in the management of critically ill newborns and use the neonatal resuscitation algorithm as a didactic framework for teaching and simulation.