TEXTBOOK OF
Neonatal
Resuscitation
7th Edition
®
, Textbook of Neonatal
Resuscitation, 7th Edition
Editor
Gary M. Weiner, MD, FAAP
Associate Editor
Jeanette Zaichkin, RN, MN, NNP-BC
Editor Emeritus
John Kattwinkel, MD, FAAP
Assistant Editors Educational Design Editor
Anne Ades, MD, FAAP Jerry Short, PhD
Christopher Colby, MD, FAAP
Eric C. Eichenwald, MD, FAAP Managing Editors
Kimberly D. Ernst, MD, MSMI, FAAP Rachel Poulin, MPH
Marilyn Escobedo, MD, FAAP Wendy Marie Simon, MA, CAE
John Gallagher, MPH, RRT-NPS
Based on original text by
Louis P. Halamek, MD, FAAP
Ronald S. Bloom, MD, FAAP
Jessica Illuzzi, MD, MS, FACOG
Catherine Cropley, RN, MN
Vishal Kapadia, MD, MSCS, FAAP
Henry C. Lee, MD, FAAP Textbook of Neonatal
Linda McCarney, MSN, APRN, Resuscitation, 7th Edition,
NNP-BC eSim Cases:
Patrick McNamara, MB, FRCPC Anne Ades, MD, FAAP
Jeffrey M. Perlman, MB, ChB, FAAP Kimberly D. Ernst, MD, MSMI, FAAP
Steven Ringer, MD, PhD, FAAP Jeanette Zaichkin, RN, MN, NNP-BC
Marya L. Strand, MD, MS, FAAP
Myra H. Wyckoff, MD, FAAP
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, Published by the American Academy of Pediatrics
141 Northwest Point Blvd
Elk Grove Village, IL 60007-1019
Telephone: 847/434-4000
Facsimile: 847/228-1350
www.aap.org
The recommendations in this publication and the accompanying materials do not indicate an exclusive course of treatment or
serve as a standard of care. Variations, taking into account individual circumstances, nature of medical oversight, and local
protocols, may be appropriate.
Every effort has been made to ensure that contributors to the Neonatal Resuscitation Program materials are knowledgeable
authorities in their fields. Readers are nonetheless advised that the statements and opinions expressed are provided as guidelines
and should not be construed as official policy of the American Academy of Pediatrics or the American Heart Association.
This material is made available as part of the professional education programs of the American Academy of Pediatrics and the
American Heart Association. No endorsement of any product or service should be inferred or is intended.
The American Academy of Pediatrics and the American Heart Association disclaim any liability or responsibility for the
consequences of any actions taken in reliance on these statements or opinions.
The American Academy of Pediatrics reserves the right to disclose personal information related to course completion of course
participants/providers for administrative purposes such as to verify participation or classes taken or to validate the status of any
Course Completion Card. In no event shall the American Academy of Pediatrics or American Heart Association have any liability for
disclosure or use of information for such purposes or responsibility for the consequences of any actions taken in reliance on such
information.
Copyright © 2016 American Academy of Pediatrics and American Heart Association
All rights reserved. No part of this publication or its accompanying materials may be reproduced, stored in a retrieval system, or
transmitted in any form or by any means—electronic, mechanical, photocopying, recording, or otherwise–without prior permission
from the publisher (locate title at http://ebooks.aappublications.org and click on © Get Permissions; you may also fax the
permissions editor at 847/434-8780 or e-mail permissions@aap.org). First edition published 1987; second, 1990; third, 1994;
fourth, 2000; fifth, 2006; sixth, 2011.
Printed in the United States of America
NRP323
ISBN: 978-1-61002-024-4
eBook: 978-1-61002-025-1
Library of Congress Control Number: 2015950716
5-276/0416 1 2 3 4 5 6 7 8 9 10
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, Acknowledgments
NRP Steering Committee Members
Myra H. Wyckoff, MD, FAAP, Co-chair 2011-2015 Erich C. Eichenwald, MD, FAAP
Steven Ringer, MD, PhD, FAAP, Co-chair 2013-2015 Kimberly D. Ernst, MD, MSMI, FAAP
Marilyn Escobedo, MD, FAAP, Co-chair 2015-2017 Vishal Kapadia, MD, FAAP
Anne Ades, MD, FAAP Henry C. Lee, MD, FAAP
Christopher Colby, MD, FAAP Marya L. Strand, MD, MS, FAAP
Liaison Representatives
Eric C. Eichenwald, MD, FAAP Linda McCarney, MSN, APRN, NNP-BC
AAP Committee on Fetus and Newborn National Association of Neonatal Nurses
John Gallagher, MPH, RRT-NPS Patrick McNamara, MB, FRCPC
American Association for Respiratory Care Canadian Paediatric Society
Jessica Illuzzi, MD, MS, FACOG
American College of Obstetricians
and Gynecologists
Associated Education Materials for the Textbook of Neonatal Resuscitation, 7th Edition
Instructor Toolkit, Jeanette Zaichkin, RN, MN, NRP Key Behavioral Skills Poster, Louis P. Halamek,
NNP-BC, Editor MD, FAAP, Editor
Instructor Course, Jeanette Zaichkin, RN, MN, NRP Equipment Poster, Jeanette Zaichkin, RN, MN,
NNP-BC, Editor; Vishal Kapadia, MD, MSCS, FAAP; NNP-BC, Editor
Henry C. Lee, MD, FAAP; Taylor Sawyer, DO, MEd, NRP App, Steven Ringer, MD, PhD, FAAP and
FAAP; and Nicole K. Yamada, MD, FAAP, Marya L. Strand, MD, MS, FAAP, Editors
Contributors
Neonatal Resuscitation Scenarios, Jeanette Zaichkin,
NRP Online Examination for Instructors, Jeanetet RN, MN, NNP-BC, Editor; Myra H. Wyckoff, MD,
Zaichkin, RN, MN, NNP-BC FAAP; Vishal Kapadia, MD, MSCS, FAAP; Marya L.
NRP Online Examination for Providers, Steven Ringer, Strand, MD, MS, FAAP, Contributors
MD, PhD, FAAP, and Jerry Short, PhD, Editors
NRP Reference Chart, Code Cart Cards, and Pocket
Cards, Vishal Kapadia, MD, MSCS, FAAP, Editor
The committee would like to express thanks to the following reviewers and contributors
to this textbook:
American Academy of Pediatrics Committee on Fetus Errol R. Alden, MD, FAAP, AAP Board-appointed
and Newborn Reviewer
American Academy of Pediatrics Section on Bioethics Steven M. Schexnayder, MD, FAAP, AHA-appointed
International Liaison Committee on Resuscitation, Reviewer
Neonatal Delegation Aviva L. Katz, MD, FAAP, AAP Committee on Bioethics
Jeffrey M. Perlman, MB, ChB, FAAP, Co-chair Reviewer
Jonathan Wylie, MD, Co-chair
iii
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