Newborn Resuscitation CPG Notes Flashcards
(37 cards)
What are the three primary care objectives in newborn resuscitation?
Maintain normothermia, establish effective ventilation, and escalate care early.
Who is the intended patient group for this guideline?
Newborns requiring resuscitation in the first 24 hours of life.
Why is maintaining normothermia important in newborns?
Hypothermia is an independent predictor of poor outcomes and should be aggressively prevented.
What is the thermal care approach for term or preterm (32–42 weeks)?
Skin-to-skin contact, drying, fresh towels/bubble wrap, beanie.
How should a very preterm (<32 weeks), witnessed birth be managed thermally?
Leave wet, place into polyethylene bag, dry head, apply beanie.
How should a very preterm (<32 weeks), unwitnessed birth be managed?
Dry, then place into polyethylene bag and apply beanie.
What are the key components of the initial assessment?
Breathing adequacy and muscle tone.
What indicates a newborn is unlikely to need resuscitation?
Good muscle tone and adequate breathing.
How should the airway be positioned?
Neutral head position, often using a towel under the shoulders.
When should auscultation of HR be delayed?
If poor breathing and tone clearly persist—start IPPV immediately.
Where can resuscitation occur while cord is attached?
Between mother’s legs with soiled towels replaced.
When is cord clamping and cutting appropriate?
If resuscitation logistics require newborn to be moved.
When should ventilation be initiated?
Within 60 seconds for a non-vigorous newborn.
What is the most reliable indicator of adequate ventilation?
Heart rate increasing to > 100 bpm.
What is the main cause of failed resuscitation?
Inadequate ventilation.
Are OPAs recommended for routine use?
No—they should only be used if anatomical obstruction is present.
What is the expected SpO2 trend after birth?
~60-65% at birth, increasing to >90% within 10 minutes.
What oxygen approach is used if SpO2 remains <90% at 5–10 minutes?
Titrate oxygen via nasal cannula to target 90%; reduce if >90%.
When is suction indicated?
Only when airway obstruction is suspected.
What is the correct suction order?
Mouth first, then nose.
How deep should suction be performed?
No deeper than the oropharynx (tragus to mouth corner).
What pressure is recommended for suctioning?
< 100 mmHg (about 1/4 of adult pressure).
What two tools confirm ETT placement?
Monitor capnograph and EMMA capnograph.
What size ETT for term infants (>3 kg)?
3.5 mm ETT, 9–10 cm lip length.
