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Neonatal Resuscitation Guide

This document provides guidelines for neonatal resuscitation including normal delivery procedures, equipment needed, causes of neonatal distress, resuscitation algorithms, bagging techniques, suctioning, chest compressions, and the desired end result of stabilizing the newborn's heart rate, respirations, and color. Key steps include clearing the airway with a bulb syringe, providing warmth, stimulation if not breathing, assessing vital signs, giving eye prophylaxis and vitamin K, and providing oxygen as needed. Meconium babies require aggressive airway suctioning prior to drying if not vigorous. Bagging is done at 5-8 LPM with a 15-20 cmH2O pressure to get a slight chest rise

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PatrickNichols
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150 views18 pages

Neonatal Resuscitation Guide

This document provides guidelines for neonatal resuscitation including normal delivery procedures, equipment needed, causes of neonatal distress, resuscitation algorithms, bagging techniques, suctioning, chest compressions, and the desired end result of stabilizing the newborn's heart rate, respirations, and color. Key steps include clearing the airway with a bulb syringe, providing warmth, stimulation if not breathing, assessing vital signs, giving eye prophylaxis and vitamin K, and providing oxygen as needed. Meconium babies require aggressive airway suctioning prior to drying if not vigorous. Bagging is done at 5-8 LPM with a 15-20 cmH2O pressure to get a slight chest rise

Uploaded by

PatrickNichols
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
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Neonatal Resuscitation

-BLS-

RC 290
Equipment Needed
Overhead radiant warmer
Bulb syringe
BVM with heated &
humidified O2
De Lee suction device
Size 5 Fr suction catheters
and wall suction
Laryngoscope with proper
sized blades
Proper sized ET tubes
Crash cart/Drug box
Normal Delivery Procedures
Place under warmer and
towel dry
Use bulb syringe to clear
mouth, than nose
Tactile stimulation if not
breathing yet
Auscultate heart and lungs &
assess color
Prophylactic silver nitrate or
erythromycin drops in eyes
Vitamin K injection
Examine umbilical cord
Free flow O2 as needed
Free Flow O2

Hold O2 connecting tubing ½ inch from infants face.


Run flow at 5 LPM
Resuscitation

Maternal causes: Fetal Causes


– Drugs – Cord compression
– Cardiopulmonary – Prematurity
problems – Congenital anomalies
– Infection – Multiple pregnancy
– Dystocia – Meconium aspiration
– Utero-Placental problems – Hypothermia
– shock
NRP Resuscitation Algorithm
Meconium Baby
Airway is aggressively
cleared prior to drying if
infant is meconium stained
AND baby is NOT vigorous!
– Use ET tube as a suction
device
May need PD & P after heart
rate, respirations, and color
stabilize
If baby is meconium stained
but vigorous, proceed with
normal resuscitation
Bagging a Neonate
BVM Devices
BVM Devices

Flow-dependent anesthesia bag


Bagging Technique

Place infant in “sniffing”


position by placing a
small towel under the
shoulders
Do not hyperextend
neck!
Bagging technique (cont.)

Apply correctly sized


mask over infants mouth
and nose with apex of
mask over bridge of nose
Run either type of bag at 5-8
LPM to get 100% FIO2
– If self-inflating bag, use
reservoir also
Watch for slight rise of chest
(Vt ~ 20-30 ml)
Rate is 40-60
Pressure
– First breath may require 30-40
cmH2O
– Then, with normal lungs, 15-20
cmH2O
– Poor lung compliance may
require sustained 20-40
cmH2O
If BVM ventilation lasts over 2
minutes…

Than an orogastric tube has to be


inserted
Neonatal PD & P

Meconium babies and/or Maintain airway


C section babies throughout using one
hand on head
No more than 20
degrees of Suction PRN
Trendelenberg or ICP will Besides suction, need
increase BVM and O2
Monitor heart rate,
Percuss anterior and respirations and color
lateral surfaces 1-2 throughout
minutes
Neonatal PD & P Percussors
Neonatal Chest Compressions

Asystole or bradycardia less than 60 that is not increasing with


airway and ventilation
Use thumbs on lower half of sternum (one finger’s width below
nipple line)
Compress ½ to ¾ of an inch, 120 times per minute
Compression ventilation ratio is 3:1 (pause to give breath)
The End Result

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