Very recently, the American Heart Association updated the guidelines for neonatal resuscitation. The GRADE process was followed for the formulation of recommendations, with updated evidence from recently published studies. In this article, we are discussing the changes made, their implications and concerns when applied to developing countries.
The first and most important change noted is anticipating the need for resuscitation. While the Neonatal Resuscitation Programme (NRP) 2015 recommended team briefing as an optional need, the current guideline gives a strong recommendation favouring it. This recommendation is based on data indicating a decreased role of confusion during simulation training, better communication and clinical outcomes, with team briefing.
