The Neonatal Resuscitation Program (NRP) is an educational program in neonatal resuscitation that was developed and is maintained by the American Academy of Pediatrics. This program focuses on basic resuscitation skills for newly born infants. .
With the rollout of the sixth edition of NRP to reflect the 2010 American Heart Association guidelines for resuscitation, the course format has changed considerably. In the past, a full-day course incorporated lecture, written testing and hands-on skills. Now students study independently, complete an online examination, then attend an in-person skills session. This reduces the classroom time required for the course and allows instructors to focus on the practical skills needed to resuscitate the neonate. .
The program is intended for healthcare providers who perform resuscitation in the delivery room or newborn nursery. Providers who take NRP are diverse in their scope of practice. The course outline is flexible to allow providers to complete specific modules directly related to their practice..
Neonatal resuscitation or also called as newborn resuscitation is the resuscitation of newborn children with birth asphyxia. About a quarter of all neonatal deaths globally are caused by birth asphyxia, and depending on how quickly and successfully the infant is resuscitated, hypoxic damage can occur to most of the infant's organs (heart, lungs, liver, gut, kidneys), but brain damage is of most concern.
The International Liaison Committee on Resuscitation (ILCOR) has published Consensus on science and treatment recommendations for neonatal resuscitation in 2000, 2005 and 2010. Traditionally, newborn children have been resuscitated using mechanical ventilation with 100% oxygen, but there has since the 1980s increasingly been debated whether newborn infants with asphyxia should be resuscitated with 100% oxygen or normal air, and notably Ola Didrik Saugstad has been a major advocate of using normal air. It has been demonstrated that high concentrations of oxygen lead to generation of oxygen free radicals, which have a role in reperfusion injury after asphyxia. The 2010 ILCOR guidelines recommend the use of normal air rather than 100% oxygen.