What is the single most important and effective step in neonatal resuscitation? - ANSWER-Ventilation of the newborn's lungs
Abnormal Transition Findings - ANSWER--Irregular Breathing, absent breathing, or rapid breathing
-Slow or fast heart rate
-Decreased Muscle Tone
-Pale Skin or Blue Skin
...
NRP algorithm- First Step - ANSWER-Antenatal Counselling
Team Debriefing
Equipment Check
After the birth of the baby, what do you ask? - ANSWER-1. Term Gestation?
2. Good Tone?
3. Breathing or crying?
FIVE INITIAL STEPS:
If you answer NO to any of the three questions (term, tone, breathing) what do you do? - ANSWER-
Warm
Dry
Stimulate
Position airway
Suction if needed
Apnea or gasping? HR <100bpm= NO with laboured breathing/cyanosis - ANSWER-Position airway,
suction if needed
, Pulse oximeter
Oxygen if needed
Consider CPAP
Apnea or gasping? HR <100bpm= YES - ANSWER-PPV
Pulse Oximeter
Consider Cardiac Monitor
HR STILL less than 100bpm= YES - ANSWER-Ensure adequate ventilation
Consider ETT or laryngeal mask
Cardiac Monitor
HR <60 bpm? - ANSWER-ETT or laryngeal mask
Chest compressions
Coordinate PPV-100% oxygen
UVC
HR STILL <60 bpm? - ANSWER-IV Epinephrine every 3-5 minutes
If still less than 60, consider hypovolemia or pneumothorax
Equipment Check- Clear the airway - ANSWER--Bulb Syringe
-10F or 12F Suction catheter attached to wall suction set at 80-100mm Hg
-Tracheal Aspirator
Equipment Check- Auscultate - ANSWER--Stethoscope
Equipment Check- Ventilate - ANSWER--Sets flowmeter to 10 L/min
-Sets oxygen blender to 21% (21-30 if less than 35 weeks gestation)
-Checks presence/function of PPV devices, including pressure settings and pressure pop-off valves
-Sets T-Piece resuscitator at peak inflation pressure
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