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Guidelines 2000 for neonatal resuscitation.

Worldwide birth asphyxia alone accounts for one-fifth of the total 5 million neonatal deaths that occur each year. Resuscitation of the newly-born infant presents a different set of challenges than resuscitation of the adult or even the older infant child. The International Liaison Committee on Resuscitation (ILCOR) has addressed many important resuscitation issues including an advisory statement on pediatric resuscitation and recommendations in the areas of pediatric basic life support (BLS) pediatric advanced life support (ALS) and BLS for the newly born. In connection ILCOR provided a forum for liaison between resuscitation organizations in the developed world to extend advisory recommendations beyond BLS to ALS for the newly born. The 2000 consensus document on ALS of the newly born converts the previously published ILCOR advisory statements into a set of guidelines. The document provides clear directions to initiate withhold or withdraw resuscitation and is going to be of tremendous utility to health provider as well as the parents in difficult situations. However regional and hospital policies may have to be worked out for complex and difficult ethical issues.