POINT-COUNTERPOINT
Cardiopulmonary Resuscitation of the Newborn
Robert A. Sinkin MD1
Jonathan M. Davis MD1
1 University of Rochester Medical Center
Because of the continued concern expressed by one of the readers regarding our article "Cardiopulmonary Resuscitation of the Newborn" (PIR. 12:5(Nov 1990):136-141), we have drafted the following statement.
The goal of our article was to provide the pediatrician with appropriate guidelines for this crucial and lifesaving intervention for newborn infants. However, possible confusion on the relationship of Apgar scores and resuscitation needs to be resolved. Apgar scores should not be used to make decisions regarding the course of initial resuscitation, and this is clearly stated in our article. Instead, decisions should be based primarily upon evaluation of an infant's respirations, heart rate, and color.