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A Journal on Pediatrics, Neonatology, Adolescent Medicine,
Child and Adolescent Psychiatry

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Minerva Pediatrica 2008 August;60(4):411-5


language: Italian

Newborn resuscitation: from necessity of continous practice to professional liability

Molinelli A. 1, Landolfa M. C. 1, Rocca G. 1, D’Agostino I. 2, Nardelli E. 3

1 DIMEL - Dipartimento di Medicina Legale Università degli Studi di Genova, Genova, Italia 2 II Scuola di Pediatria IRCCS G. Gaslini, Genova, Italia 3 Unità Operativa Neonatologia, Azienda Ospedaliera San Martino, Genova, Italia


The immediately postbirth extra uterine adaptation is the most important cause of death in the first two hours of life. In all risky cases, it is necessary to effect efficient and on time techniques of newborn resuscitation, because dubitation or delay may be very dangerous for the infant. In Italy courses of equipment in newborn resuscitation are regularly performed, but an excellent level of technique can be obtained only with continuous daily practice. Then, particularly in little hospitals where it is unusually necessary to act resuscitation on a newborn, courses of simulation for medical and nursering staff would be opportune to prevent neonatal handicap and to deal with the professional liability in the best way. The Italian current jurisprudence, in fact, has slowly confined the application of 2236 article of Civil code about professional liability in particularly difficult efforts. The Italian law asserts that a professional specialist is trained to be able resolve any type of problem among those of his specialistic competence, even if technically very difficult. It should be opportune to train health staff with practical exercises, in order to obtain complete technical skills in all neonatal centers.

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