What is important to avoid immediately after resuscitation in newborns?

Sodium bicarbonate infusion is important to avoid immediately after resuscitation in newborns due to several reasons related to the physiological response of neonates. Administering sodium bicarbonate can lead to a rapid increase in blood pH, which may cause metabolic alkalosis. Newborns have limited buffering capacity and their physiology responds differently to medications than that of older children and adults.

Furthermore, successful resuscitation often aims to improve oxygenation and ventilation rather than altering blood chemistry through bicarbonate administration, which is not typically necessary or effective immediately following resuscitation. Instead, addressing underlying issues such as hypoxia and hypovolemia and supportive care with oxygen or positioning can be more beneficial in stabilizing the newborn's condition.

Understanding this clinical approach helps healthcare providers prioritize interventions that are essential for effective neonatal support and resuscitation.