3 questions to be asked to determine resuscitative effort
- Term gestation
- Breathing or crying?
- Good muscle tone?
The most important and effective action in neonatal resuscitation is to ____
Ventilate the baby’s lung
Note: Heart rate is always dependent on ventilation
Newborn is gasping or apneic, what must be done first?
Indication for chest compressions
HR less than 60bpm after at least 30 seconds of PPV
Preferred chest compression technique
Compression rate and breathing rate per minute
90 compressions; 30 beats; 3:1 ratio
Indication for epinephrine
If HR is less than 60 after 30 seconds of PPV AND another 60 seconds of chest compressions coordinated with PPV using 100% oxygen
Route and dose of epinephrine
- 0.1 – 0.3 mkd via umbilical vein; or
- 0.5 – 1 mkd via ET
Indication for volume expander
If baby is not responding despite efforts and baby appears in shock
Recommended fluid for resuscitation and dosage
PNSS or O negative blood at 10 mg/kg via umbilical vein over 5 – 10 minutes