Review Article

Neonatal Resuscitation Research Priorities in Low- and Middle-Income Countries

Table 1

2020 CoSTR topics reviewed and evidence evaluation process [14].

Sr. no.TopicSubtopicProcessStudies from LMICs

1Anticipation and preparationPrediction of need of respiratory support in the delivery roomEvidence updateNo
Effect of briefing/debriefing following neonatal resuscitationScoping reviewNo

2Initial assessment and interventionWarming adjunctsEvidence updateNo
Suctioning of clear fluidScoping reviewNo
Tracheal intubation and suction of nonvigorous meconium-stained newbornsSystematic reviewYes

3Physiological monitoring and feedback devicesHeart rate monitoring during neonatal resuscitationEvidence updateNo

4Ventilation and oxygenationSustained inflationSystematic reviewYes
Positive end-expiratory pressure (PEEP) versus no PEEPEvidence updateNo
Continuous positive airway pressure (CPAP) versus intermittent PPVEvidence updateNo
T-piece resuscitator versus self-inflating bag for ventilationScoping reviewYes
Oxygen for preterm resuscitation2019 CoSTR publicationNo
Oxygen for term resuscitation2019 CoSTR publicationNo

5Circulatory supportCPR ratios for neonatal resuscitationEvidence updateNo
2-thumb versus 2-finger compressions for neonatal resuscitationEvidence updateNo

6Drug and fluid administrationEpinephrine (adrenaline) for neonatal resuscitationSystematic reviewNo
Intraosseous versus umbilical vein for emergency accessSystematic reviewNo
Volume infusion during neonatal resuscitationEvidence updateNo
Sodium bicarbonate during neonatal resuscitationEvidence updateNo

7Prognostication during CPRImpact of duration of intensive resuscitationSystematic reviewNo

8Postresuscitation careRewarming of hypothermic newbornsEvidence updateNo
Induced hypothermia in settings with limited resourcesEvidence updateYes
Postresuscitation glucose managementEvidence updateNo