Randomised trial of early rapid saline bolus versus epinephrine during resuscitation in perinatal haemorrhagic cardiac arrest in newborn lambs

Our findings support current neonatal resuscitation guidelines of intravenous epinephrine followed by a bolus in neonates with suspected hypovolaemic arrest. Early saline bolus delays epinephrine and ROSC. Careful clinical assessment of haemodynamics in the post-resuscitation phase is critical.

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Publication Details

Journal
Archives of Disease in Childhood Fetal & Neonatal
Published
2026-03-12
DOI
https://doi.org/10.1136/archdischild-2025-329674
Primary Topic
Cardiac Arrest and Resuscitation
Type
article
Field-Weighted Citation Impact
0.00
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article

Randomised trial of early rapid saline bolus versus epinephrine during resuscitation in perinatal haemorrhagic cardiac arrest in newborn lambs

Emily C. A. Lane, Michele Persiani, Deepika Sankaran, Erin P. Riley et al.
Archives of Disease in Childhood Fetal & Neonatal
Cardiac Arrest and Resuscitation
article

Randomised trial of early rapid saline bolus versus epinephrine during resuscitation in perinatal haemorrhagic cardiac arrest in newborn lambs

Emily C. A. Lane, Michele Persiani, Deepika Sankaran, Erin P. Riley, Rebecca Valdez, Amy Lesneski, Evan Giusto, Victoria L. Hammitt, Jessa Li, Satyan Lakshminrusimha, Evan Maher, Payam Vali, Gary Weiner, Sylvia Bowditch, Michelle Lim
article en

Abstract

Our findings support current neonatal resuscitation guidelines of intravenous epinephrine followed by a bolus in neonates with suspected hypovolaemic arrest. Early saline bolus delays epinephrine and ROSC. Careful clinical assessment of haemodynamics in the post-resuscitation phase is critical.

Archives of Disease in Childhood Fetal & Neonatal
California Air Resources Board (US), University of Michigan (US), University of California, Davis (US)
Openalex Percentile: Top 29%
Cardiac Arrest and Resuscitation
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