Neonatal resuscitaion Flashcards
super (33 cards)
What are the key factors in anticipating neonatal resuscitation needs?
Prenatal, intrapartum, and neonatal risk factors.
What should be checked and prepared before delivery?
Equipment function, overhead heater, warm towels, room temperature >24°C.
When should naloxone be drawn up in anticipation?
If the mother received narcotics (e.g., pethidine) within 4 hours before delivery.
When should the stopwatch be started in breech deliveries?
When the whole body of the baby up to the neck is delivered.
When can Initial Steps be completed?
(within 30 seconds)
What are the 3 main initial steps after birth?
Prevent heat loss, open the airway, and initiate breathing.
How is heat loss prevented?
Place under a radiant warmer, dry thoroughly, remove wet towels.
How is the airway opened?
Position in the sniffing position and suction mouth first, then nose.
What are acceptable methods of tactile stimulation?
Slapping soles, Flicking heels , rubbing the back along the spine.
What should NOT be done during stimulation?
Do not slap the back or squeeze the rib cage.
When can tactile stimulation be skipped?
If baby remains apneic; proceed directly to bag-mask ventilation to save time.
When is positive pressure ventilation (PPV) indicated?
Apnea, gasping, persistent central cyanosis despite 100% O₂, HR < 100 bpm.
What initial pressure is needed for lung inflation?
30–40 cm H₂O.
What is the ventilation rate with a bag and mask?
40 breaths/min.
How is adequacy of ventilation assessed?
By observing the chest rise and fall
Facemask must cover ?
Tip of chin, nose and mouth, but not eyes
Supplemental O2p
100% O2 with O2 reservoir, 40% O2 without O2 reservoir
When are chest compressions initiated?
If HR < 60 bpm, between 60 to 80 bpm and not increasing after 30 seconds of Positive Pressure ventilation.
Chest compression accompanied by
by ventilation with 100% O2
Site of compression
on lower 1/3 of sternum, just below nipple line
1/2 to 3/4 compression i.e 1/3 of AP diameter
Rate
Ventilation rate - 30/min
Compression rate - 90/min
V:C - 1:3
method
thumb or 2 finger method
When is endotracheal intubation indicated?
Ineffective bag-mask ventilation, need for prolonged PPV, tracheal suctioning,
drug administration,
special circumstances (Congenital diaphragmatic hernia, extremely low birth weight)
What is the dose of epinephrine in neonatal resuscitation?
0.1–0.3 mL/kg of 1:10,000 solution IV or endotracheal.
