What is the recommended compression-to-ventilation ratio for neonatal resuscitation?

In neonatal resuscitation, the recommended compression-to-ventilation ratio is 3:1. This ratio is specifically designed to optimize the efficacy of both chest compressions and assisted ventilation during emergency situations involving newborns. The focus during resuscitation is to ensure that adequate blood circulation is maintained through high-quality compressions while also addressing the need for oxygenation through effective ventilations.

This 3:1 ratio means that for every three chest compressions delivered, one ventilation should be provided. This approach respects the physiological needs of neonates, who rely heavily on effective ventilation due to their high oxygen demand and relatively small tidal volumes.

In contrast, other ratios, such as 15:2, 5:1, and 30:2, are more suitable for adult or pediatric resuscitation rather than for newborns, underscoring the nuances in resuscitation techniques tailored to different age groups. The 3:1 ratio is thus a crucial component of neonatal resuscitation protocols, ensuring that both circulation and ventilation are effectively managed to improve outcomes for newborns in distress.