Neonatal Resuscitation Flashcards Preview

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Flashcards in Neonatal Resuscitation Deck (11):
1

How does labour help physiological transition post birth?

Labour = baby stressed = up cortiosol = down fluid synthesis

2

Which newborns require resuscitation?
- Assessment of newborn
- Who should/n't be suctioned

Tone: floppy + extended
Breathing: apnoeic/ not crying/ not gasping
HR: Bradycardia

3

Intrapartum risk factors for premature newborns:

Note on cord clamping

Oxygen toxic to lungs (hyperoxic injury)
Retinopathy if

4

Neonate Resuscitation algorithm
- overview
- airway

OVERVIEW:
Term gestation? Breathing? Tone?
Prevent heat loss, open airway, stimulate (rub)
Bradycardic, gasping apnoeic?
Positive Pressure Ventilation, SpO2 monitoring
Bradycardic
Open airway, reduce leaks, up pressure & oxygen
Bradycardic (HR

5

Neonate Resuscitation algorithm
- positive pressure ventilation
( indication/ neopuff/ significance)

INDICATION: 1 point APGAR score at 1 min = resuscitate
- Appearance: blue/blue extremities/pink (012)
- Pulse: none/100
- Grimace: none/grimace/cough sneeze
- Activity: flaccid/some flexion/ well flexed
- Respiration: absent/weak, irregular/good,crying

NEOPUFF: non invasive using AIR
- flow rate 10L/min
- insp pressure 30mmHg (>36wks)
- good seal, 60 breaths/min [up pressure/use O2 if doesn't work)

SIGNIFICANCE
- Functional Residual Capacity = most important (related to gas exchange). Want to keep lungs expanded

6

Neonate Resuscitation algorithm
- tracheal intubation (indication/correct use/causes of failure)

INDICATION: gestational age of infant/degree of resp depression/response to mask ventilation (mask ventilation unsuccessful)/baby born without heartbeat.

CORRECT USE SIGNS: color change on CO2 detector/ETT pass larynx/improved SpO2 & HR/Chest rise/breath sounds over both lung fields/no gastric distention w ventilation/vapor condensing on inside of tube

FAILURE DUE TO: Tube in oesophagus/equipment malfunction/pneumothorax/pleural effusion/diaphragmatic hernia

7

Neonate Resuscitation algorithm
- Chest compression (indication/technique/coordination)

COMPRESSION
Indication: HR

8

Neonate Resuscitation algorithm
- Medications and fluids (indication/routes/adrenaline)

MEDS & FLUIDS - rarely used
Indication: HR

9

Neonate Resuscitation algorithm
- Temp
- Equipment
- Initial assessment

TEMP: 26 degrees C, hat on baby, humidify oxygen. Polyethylene sheet for babies

10

Decision to Discontinue resuscitation

Baby has not responded with measurable heart rate after 10 min maximal resuscitation
b/c survival and quality of survival deteriorate by this time

11

After resuscitation
- infant (monitor, document)
- family (resuscitation of baby, disressful for staff)

INFANT:
- monitor (SpO2/HR/RR/cpillary blood gas analysis)
- document (BP, blood glucose level)

FAMILY:
- distressful, counselling
- staff debrief