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BY DR SHANZA
AUROOJ
WHAT IS NEONATAL RESUSCITATION?
 Neonatal Resuscitation is
intervention after a baby is born
to help it breathe and to he...
Before a baby is born,
the placenta provides
oxygen and nutrition
to the blood and
removes carbon
dioxide.
After a baby is...
The transition from using the
placenta to using the lungs for
gas exchange begins when
the umbilical cord is clamped
or ti...
PREPARATION FOR
RESUSCITATION
ANTICIPATION
ADEQUATE
EQUIPMENT
ADEQUATE
PERSONNEL
EQUIPMENT REQUIRED
 RESUSCITATION TABLE
 STERILE LINEN
 SUCTION APPARATUS
 LARYNGOSCOPE
 AMBU BAG & FACE MASKS
 ORAL...
MEDICATIONS
 Epinephrine
 Naloxone hydrochloride
 Volume expanders
 Normal saline
 Albumin 5%
 Ringer lactate
 Sodi...
MISCELLENOUS
 Radiant warmer
 Stethoscope
 Adhesive tape
 Syringes
 Butterfly needles
 Umbilical artery catheterizat...
Clear of meconium
Breathing or crying?
Good muscle tone?
Color pink?
Term gestation?
Provide warmth
Position (clear...
HOW TO PREVENT HEAT LOSS?
 Place the infant under
radiant heat source
 Dry off the amniotic fluid
What is the correct position?
How to clear airway?
 Place the newborn in
a supine position with
neck semi
extended,use a
...
INITIATE BREATHING
 Use tactile stimulation
 Employ positive pressure
ventilation when necessary
using
 Bag & mask
 Ba...
WHAT ARE THE WAYS TO MAINTAIN
CIRCULATION?
 Chest compression=when
HR<60/min
 Sternum should be compressed ½
inch with P...
When to use medication?
 When HR is not increasing despite adequate ventilation with 100%
oxygen & chest compression then...
Neonatal resuscitation
Neonatal resuscitation
Neonatal resuscitation
Neonatal resuscitation
Neonatal resuscitation
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Neonatal resuscitation

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Neonatal resuscitation

  1. 1. BY DR SHANZA AUROOJ
  2. 2. WHAT IS NEONATAL RESUSCITATION?  Neonatal Resuscitation is intervention after a baby is born to help it breathe and to help its heart beat.
  3. 3. 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
  4. 4. 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. Many babies go through this transition without needing intervention. Some babies need help with establishing their air flow, breathing, or circulation
  5. 5. PREPARATION FOR RESUSCITATION ANTICIPATION ADEQUATE EQUIPMENT ADEQUATE PERSONNEL
  6. 6. EQUIPMENT REQUIRED  RESUSCITATION TABLE  STERILE LINEN  SUCTION APPARATUS  LARYNGOSCOPE  AMBU BAG & FACE MASKS  ORAL AIRWAYS  OXYGEN WITH FLOW METER & TUBING  ENDOTRACHEAL TUBES  SCISSORS GLOVES
  7. 7. MEDICATIONS  Epinephrine  Naloxone hydrochloride  Volume expanders  Normal saline  Albumin 5%  Ringer lactate  Sodium bicarbonate4.2%  Dextrose water 10%  Sterile water
  8. 8. MISCELLENOUS  Radiant warmer  Stethoscope  Adhesive tape  Syringes  Butterfly needles  Umbilical artery catheterization tray  Umbilical catheter 3 & 5 fr  Feeding tube  Spirit sponges
  9. 9. Clear of meconium Breathing or crying? Good muscle tone? Color pink? Term gestation? Provide warmth Position (clear airway) Dry,stimulate,reposition Give Oxygen Evaluate respiration,heart rate & colour Routine care: •Provide warmth •Clear airway •dry Provide positive pressure ventilation Provide positive pressure ventilation Administer chest compression Administer adrenaline Supportive care Ongoing care YES NO Breathing HR>100 & PINK APNEA Or HR<100 VENTILATING HR>100 & PINK HR<60 HR>60 HR<60 HR>60
  10. 10. HOW TO PREVENT HEAT LOSS?  Place the infant under radiant heat source  Dry off the amniotic fluid
  11. 11. What is the correct position? How to clear airway?  Place the newborn in a supine position with neck semi extended,use a shoulder role to keep neck extended  Suction the infant’s mouth and nose
  12. 12. INITIATE BREATHING  Use tactile stimulation  Employ positive pressure ventilation when necessary using  Bag & mask  Bag & endotracheal tube  Ventilation rate=40/min  Ventilation pressure=15-20cm of water  Continue ventilation for 15-30 minutes
  13. 13. WHAT ARE THE WAYS TO MAINTAIN CIRCULATION?  Chest compression=when HR<60/min  Sternum should be compressed ½ inch with PPV at the ratio of 3: 1  Encircle the chest with overlapping thumbs or  Place middle & index finger of one hand right angle to the chest wall over sternum  Continue for 30 seconds,if HR>60 & increasing stop compressions
  14. 14. When to use medication?  When HR is not increasing despite adequate ventilation with 100% oxygen & chest compression then use drugs to stimulate heart  ADRENALINE(1:10,000): 0.1-0.3 ml/kg IV, repeated every 3-5 min  Volume expanders(N/S,R/L,5% albumin): 10 ml/kg IV 5-10/min  Sodium bicarbonate:prolonged cardiac arrest 1-2 meq/kg IV  Naloxone hydrchloride: 0.1 mg/k IV,maternal narcotics administration within 4 hours  Dopamine: continued shock,dose=5-20 mg/kg/min,continous

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