What are the AHA recommendations for delivering chest compressions to neonates?

Updated: Sep 15, 2020
  • Author: Catharine A Bon, MD; Chief Editor: Kirsten A Bechtel, MD  more...
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The AHA guidelines include the following specific recommendation for delivering compressions [43] :

  • Method: The 2 thumb–encircling hands technique is preferred (class IIb); allow complete chest recoil after each compression (class IIa)

  • Depth: At least one-third anteroposterior chest diameter (class IIb)

  • Compression rate: 90 compressions and 30 breaths per minute (class IIa)

  • Compression-to-ventilation ratio: 3:1 (class IIa)

  • Oxygen concentration should be increased to 100% whenever chest compressions are provided (class IIa)

  • To reduce the risks of complications associated with hyperoxia, supplementary oxygen concentration should be weaned as soon as the heart rate recovers (class I)

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