PAEDIATRIC NURSING NEONATAL RESUSCITATION

1. MRS.JEBAKUMARI SUTHA.A
PROFESSOR
PAEDIATRIC DEPARTMENT
GANGA COLLEGE OF NURSING
COIMBATORE-22

2. NEONATAL RESUSCITATION
MRS.JEBAKUMARI SUTHA
ASST.PROFESSOR
GANGA COLLEGE OF NURSING

3. What is Neonatal Resuscitation?
• Neonatal Resuscitation is an intervention
after a baby is born to help it breathe
and to help its heart beat.

4. TRANSITION FROM PLACENTA TO LUNGS
• Before a baby is born,
the placenta provides
oxygen and nutrition to
the blood and removes
carbon dioxide
• After a baby is born, the
lungs provide oxygen to
the blood and remove
carbon dioxide.

5. WHEN THIS TRANSITION OCCURS?
• The transition from
using the placenta to
using the lungs for gas
exchange begins when
the umbilical cord is
clamped or tied off, and
the baby has its first
breath.

6. NEONATAL RESUSCITATION-WHY?
• 100 million babies born worldwide annually
• 5 million neonatal deaths occur annually
• 19% of 5 million neonatal deaths occur
annually due to birth asphyxia
• Better outcome of these babies are possible
only by neonatal resuscitation

7. NEONATAL RESUSCITATION-WHY?
• 90% of neonates successful transition without
any help
• 10% require some assistance to begin
breathing
• 1% require intensive resuscitative efforts
• Successful neonatal resuscitation prevent
large proportion of deaths

8. RISK FACTORS
• MATERNAL OBSTETRIC
ILLNESS
• MATERNAL MEDICAL
DISEASES

9. RISK FACTORS
• MULTIPLE GESTATION • GESTATION < 34 OR >
42 WEEKS

10. RISK FACTORS
• MECONIUM STAINED • FETAL DISTRESS

11. EVOLUTION OF NEONATAL RESUSCITATION
IN OLDEN DAYS….

12. Schultze Method The Dew method

13. Silvester’s Method
• It involved the abduction and adduction
of the arms and shoulders, to increase
and decrease the intra-thoracic capacity.

14. Neonatal Resuscitation Program
• The Neonatal Resuscitation Program was
developed by the American Heart Association
and the American Academy of Pediatrics to
teach an evidence-based approach
to newborn care. NRP is an
educational program established in 1987 to
address newborn transfers to the NICU.

15. OLD NRP
2005

16. Newborn Resuscitation
Algorithm - 2010
.
Kattwinkel J et al. Pediatrics 2010;126:e1400-e1413
©2010 by American Academy of Pediatrics

18. BEFORE NEONATAL RESUSCITATION
• IDENTIFY THE RISK FACTORS
• LOOK FOR PERSONAL
• LOOK FOR SUPPLIES

19. CHECK LIST

20. SUPPLIES
• THERMOREGULATION
• AUSCULTATION
• AIRWAY
• OXYGENATION
• VENTILATION
• INTUBATION
• MEDICATION

21. FOR THERMAL CONTROL
RADIANT WARMER

22. FOR THERMAL CONTROL
WARM BLANKETS

23. FOR THERMAL CONTROL
PLASTIC WRAP FOR PRETERM

24. FOR INITIAL ASSESSMENT
• STETHESCOPE

25. FOR AIRWAY PATENCY
 SHOULDER
ROLL
 SUCTION
CATHETER

26. Mechanical suction apparatus

27.  MOUTH
ASPIRATOR
 MECONIUM
ASPIRATOR

28.  BULB SYRYNGE

29. FOR OXYGENATION
 CHECK OXYGEN
SUPPLY
 FLOWMETER
 HUMIDIFIER

30.  BLENDER  PULSE OXYMETER

31. FOR PPV(VENTILATION)
 AMBU BAG  RESERVOIR

32. CPAP

33.  FACE MASK  LARYNGEAL MASK
AIRWAY

34.  OROGASTRIC
TUBE
 T PIECE
RESUSCITATOR

35. FOR INTUBATION
 LARYNGOSCOPE  CHECK BLADES

36. ET TUBES

37. FOR MEDICATION
 ADRENALINE  NORMAL SALINE

38. IV catheters T-connectors

39.  SYRYNGES  UMBLICAL
CATHETER

40. REFERENCES:
1. Marlow R Dorothy, Redding A Barbara.
Textbook of Paediatric Nursing. 6st ed.
2. Datta Parul. Paediatric Nursing. 2nd ed.
3. Gupta Piyush. Essential Paediatric
Nursing. 2nd ed.
4. Terri Kyle. Essentials of Paediatric
Nursing.1st ed.
5. Tom Lissauer, Graham Clayden.
Illustrated Textbook of Paediatric. 3rd
ed

41. Neonatal resuscitation training
with proper facilities reduces term
intrapartum-related deaths by
30%. ...
CONCLUSION