Scribd
Upload
309 views68 pages

Neonatal Resuscitation

This document provides an overview of neonatal resuscitation. It outlines the key learning objectives which include the history of neonatal resuscitation, assessment of the neonate, initial resuscitation steps, ventilation, chest compressions, medications and special considerations. The assessment of a neonate involves evaluating color, tone, breathing and heart rate to determine the appropriate response. Initial resuscitation steps include drying, clearing the airway, stimulation and positioning. Ventilation and chest compressions may be needed in some situations. Medications are rarely used and resuscitation should be discontinued after 10 minutes of continuous efforts.

Uploaded by

KARL KURSTEN LIM
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
309 views68 pages

Neonatal Resuscitation

This document provides an overview of neonatal resuscitation. It outlines the key learning objectives which include the history of neonatal resuscitation, assessment of the neonate, initial resuscitation steps, ventilation, chest compressions, medications and special considerations. The assessment of a neonate involves evaluating color, tone, breathing and heart rate to determine the appropriate response. Initial resuscitation steps include drying, clearing the airway, stimulation and positioning. Ventilation and chest compressions may be needed in some situations. Medications are rarely used and resuscitation should be discontinued after 10 minutes of continuous efforts.

Uploaded by

KARL KURSTEN LIM
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
You are on page 1/ 68

NEONATAL RESUSCITATION

Prepared By:
GUERLY MANZANO-ACOSTA, MAN
Instructor
LEARNING OBJECTIVES:
1. Short History of Neonatal Resuscitation
2. Overview and Principles of Neonatal
Resuscitation
3. Assessment of the Neonate
4. Initial steps of Resuscitation
5. Positive-pressure Ventilation
6. Chest compression
7. Medications
8. Special Considerations
9. Ethical Considerations and When to
Stop Resuscitation
Survival for babies that experience
oxygen deprivation will range, as
outcomes vary depending on how
severe it is, how long it persists, and
how quickly medical professionals can
intervene. In general, a person can
survive without oxygen to the brain for
5 to 10 minutes,
. In general, a person can survive without oxygen to the brain for
5 to 10 minutes, here is a breakdown:
 After 1 minute of oxygen deprivation, cells in the brain begin to
die, but survival and recovery are possible, especially if
appropriate treatment methods are taken.
 After 3 minutes of oxygen deprivation, the brain is likely to
experience serious damage.
 After 10 minutes of lack of oxygen, brain damage is imminent,
and death of many brain cells and poorer recovery prognoses
will result.
 After 15 minutes, brain damage is permanent and there is little
possibility for recovery. Any time around this period without
oxygen can also lead to death.
Neonates are different…
Newborn lungs are full of
amniotic fluid.
Inflation breaths: Expand the
chest to clear the amniotic
fluid and oxygenate the lungs.
Chest compression: Move
oxygenated blood to the
coronary arteries to “kick start”
the heart pumping.
At the delivery…
Dry and wrap the baby.
Stimulate the baby.
ASSESS the baby…
a. COLOR
b. TONE
c. BREATHING
d. HEART RATE
Assessing the neonate cont…
a. COLOR
-pink, pale or blue
(cyanotic)
b. TONE
-good tone or floppy
c. BREATHING
-regular, irregular
(gasping), absent
d. HEART RATE
-normal (>100), <100, or
absent
Assessing the neonate cont…
3 Categories:
Pink, crying, good tone
Irregular respiration, HR >100
Pale or cyanotic, apneic, HR <100
Happy situation:
-Crying
-Wriggling
 Pink
 HR >100bpm

Management:
*Do routine newborn care
- Dry the baby.
- Initiate skin-to-skin-contact with the mother.
- Delayed cord clamping and cutting (after 1-3mins)
 Initiate early breastfeeding.
 Ongoing observation of breathing, activity and color.
Baby not
breathing/irregular but
with good heart rate:
-pale or cyanotic
-absent/irregular breathing
-a little floppy
-normal HR

Management:
-Open the airway
-Give 5 inflation breaths
-Reassess: Color, Tone, Breathing, and
Heart rate
Emergency situation:
-Blue or cyanotic
-Floppy
-No breathing
- HR <60
* FOR THE
STEPS,
PLEASE USE
YOUR
CHECKLIST
Initial
Assessment

a. COLOR
b. TONE
c. BREATHING
d. HEART RATE
Initial Steps
Thoroughly dry and
keep the baby warm.
Clear the airway.
Stimulate.
Position
Inflation breaths

Inflation breaths
are used to
facilitate the
aeration of the
fluid-filled lungs,
by applying a
higher airway
pressure for about
2-3 sec.
Ventilation breaths
Delivered at a rate of 1
breath every 1-2 sec for
30 seconds
NEUTRAL
POSITION
Important Considerations:

Effective ventilation is
the key to successful
neonatal resuscitation.
…the first
priority is
adequate
inflation of the
lungs, followed
by increasing the
concentration of
inspired oxygen
only as needed.
Assess the Response

 The decision to progress from


one action to another is
determined by the
simultaneous assessment of the
4 criteria: color, tone,
breathing, and heart rate.

-Approx. 30 secs. Is allotted to


complete each step, re-evaluate
and decide whether to progress to
the next step.
Endotracheal tube placement

 Endotracheal intubation
may be indicated at several
points during neonatal
resuscitation:
 When tracheal suctioning
for meconium is required
 If bag-mask ventilation is
ineffective or prolonged
 When endotracheal
administration of
medications is desired
Medications

 Drugs are rarely indicated in resuscitation of the newly


born infant.
 Bradycardia is usually because of inadequate lung inflation
or profound hypoxemia, and establishing adequate
ventilation is the most important step to correct it.
 Indicated if: HR <60 after at least 30sec of effective PPV
and another 60 sec compression
 Dose: 0.01 to 0.03 mg/kg IV
(0.1 mg/kg) via ET
Post-resuscitation Care
Once adequate ventilation
and circulation have been
established, the infant
should be maintained in,
or transferred to an
environment where close
monitoring and
anticipatory care can be
provided.
Withholding Resuscitation

It is possible to identify conditions associated with


high mortality and poor outcome in which
withholding resuscitative efforts may be considered
reasonable, particularly when there has been the
opportunity for parental agreement.
Discontinuing resuscitative efforts
 Infants without signs of life (no
heart beat and no respiratory
effort) after 10 minutes of
resuscitation show either a high
mortality or severe neuro-
developmental disability.
 Therefore, after 10 minutes of
continuous and adequate
resuscitative efforts,
discontinuation of resuscitation
may be justified.
https://youtu.be/ksLwSIUljP4

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy