Today, we’d like to present you with a case of an infant born at an extremely low gestational age. The newborn's condition suddenly deteriorated and required resuscitation. The infant had severe bradycardia with a heart rate of only 40 beats per minute and an oxygen saturation that fluctuated between 20 and 40%. Despite extensive resuscitation efforts, including chest compressions and administration of epinephrine, saline, and bicarbonate correction, there was minimal improvement.