What is the recommended breathing rate during neonatal resuscitation?

The recommended breathing rate during neonatal resuscitation is 40 to 60 breaths per minute, which means the correct reference point in the context of neonatal resuscitation training aligns with the higher end of this range. The rationale behind this rate is to ensure that the infant receives adequate ventilation while minimizing the risk of overinflation of the lungs that can lead to complications such as barotrauma or inadequate oxygenation.

Newborns often require a slightly faster rate of ventilation compared to older children and adults due to their high metabolic rate and smaller lung size. This optimal rate supports the establishment of effective spontaneous breathing and enhances oxygen delivery, which is critical during resuscitation efforts. The goal is to achieve a good balance between providing sufficient breaths and avoiding excessive pressure in the lungs, ensuring that each breath delivered is effective in maintaining oxygen levels.

While a rate lower than 40 breaths per minute might not meet the newborn’s respiratory needs efficiently, a higher rate could lead to complications, making 40 breaths per minute an ideal starting point in this context.