Opportunities to learn and maintain competence in neonatal intubation have decreased. As many clinicians providing care to the newborn infant are not skilled in intubation, alternative strategies are critical. Most preterm infants breathe spontaneously, and require stabilisation rather than resuscitation at birth. Use of tactile stimulation, deferred cord clamping, and avoidance of hypoxia can help optimise breathing for these infants. Nasal devices appear a promising alternative to the face mask for early provision of respiratory support. In term and near-term infants, supraglottic airways may be the most effective initial approach to resuscitation. Use of supraglottic airways during resuscitation can be taught to a range of providers, and may reduce need for intubation. While face mask ventilation is an important skill, it is challenging to perform effectively. Identification of the best approach to training the use of these devices during neonatal resuscitation remains an important priority.

学习和保持新生儿插管能力的机会减少了。由于许多为新生儿提供护理的临床医生不具备插管技术，因此替代策略至关重要。大多数早产儿可以自主呼吸，出生时需要稳定而不是复苏。使用触觉刺激、延迟脐带夹紧和避免缺氧可以帮助优化这些婴儿的呼吸。鼻装置似乎是一种很有前景的面罩替代品，可用于早期提供呼吸支持。对于足月和近足月婴儿，声门上气道可能是最有效的初始复苏方法。可以向一系列提供者传授在复苏期间使用声门上气道的知识，并且可以减少插管的需要。虽然面罩通气是一项重要技能，但有效执行却具有挑战性。确定在新生儿复苏期间培训这些设备使用的最佳方法仍然是一个重要的优先事项。