vii Preface Being entrusted by parents to provide care for their newly born baby is both a privilege and an extraordinary responsibility. Since 1987, the Neonatal Resuscitation Program® (NRP®) has helped over 4.5 million health care providers fulfill this responsibility by acquiring the knowledge and skills necessary to save newborn lives. It has become the training standard for health care professionals throughout North America who manage newborns in the hospital setting. The Textbook of Neonatal Resuscitation, 8th edition, has been updated and includes new material however, it emphasizes the same basic principles that have been the foundation of NRP since its inception. The recommendations in this textbook are developed using a structured process. Through the International Liaison Committee on Resuscitation (ILCOR), the American Academy of Pediatrics (AAP) and American Heart Association (AHA) partner with resuscitation councils from around the world to evaluate resuscitation science. Members of the ILCOR Neonatal Task Force and a panel of content experts continuously identify knowledge gaps, perform systematic reviews that summarize the quality and certainty of evidence, and formulate consensus statements with treatment recommendations. A summary of recent consensus statements, called the 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations (CoSTR), has been published and includes 22 neonatal resuscitation questions evaluated by 50 experts representing 17 countries. From this consensus, ILCOR member councils develop guidelines that address the specific needs in their own countries. The most recent guidelines for health care systems in North America (Part 5: Neonatal Resuscitation 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care) are reproduced as an Appendix in this textbook. Finally, the NRP Steering Committee develops educational materials to help learners acquire the skills necessary to implement the guidelines. Although research since 2015 has provided additional evidence to support previous recommendations, the international science consensus has not resulted in any major practice changes. Minor practice changes have been incorporated in the NRP 8th edition Algorithm and several practices have been revised to improve patient safety and educational efficiency. Similar to the 7th edition, the textbook emphasizes the importance of adequate preparation, effective ventilation, and teamwork. Practice changes incorporated in this edition include revising the pre-birth FM-NRP-i-xiv.indd 7 5/7/21 8:37 AM
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