Consensus on Science and Treatment Recommendations (CoSTR)
Can you cite any references for your assertion that pox should be that high that early? Well newborns (spontaneously breathing, cord intact, skin to skin with their mother) in normal (physiologic) transition to extrauterine life do not have oxygen saturations of >95% at one minute and sometimes not at 5 minutes.
I agree that starting at 21% is reasonable for most term infants. How ever I am quick to move to much higher FIO2 if the infant does not respond in 30 to 60 sec...I do not wait minutes for HR perfusion color pulse ox to improve....in that I agree with guest..Debasis Kanjilal
Agree with recommendation for starting with Room Air oxygen for Term Neonates. As a practicing Neonatologist have following this recommendation for term newborns for the past 10 years and now we have definite science to show that is good practice to start resuscitation in term newborn with room air
Usually just ensuring adequate ventilation with a lower oxygen concentration is enough to transition the baby unless there is something else going on. Trouble shooting and making sure that you are adequately ventilating works. People seem to want to jump to the next step and next step when the first is not being done properly. And sometimes this can lead to invasive procedures with poor results. The most important thing is using good judgement as you proceed.
The ILCOR draft recommendations are consistent with the evidence and form the basis for valuable guidelines across the globe. The knowledge gaps identified are important areas for future study. Effects of Oxygen administration with delayed cord clamping and titration to pre-ductal SpO2 targets.