Regarding the Post neonatal resuscitation. Always assess how the resuscitation went - mistakes made and scope for improvement - the Quality Improvement initiatives to improve the Quality of Neonatal Resuscitation - that in turn improves neonatal outcomes.
The neonate required resuscitation must be monitored for potential effects of difficult perinatal transition even though the Neonatal Resuscitation goes successfully. Based on the risk factors and the extent of resuscitation required - the newborn must be monitored. Not every post resuscitation baby needs an NICU monitoring
Post-neonatal resuscitation debriefing and monitoring are crucial aspects of newborn care, aimed at improving outcomes and enhancing team performance in future resuscitations. Debriefing following a resuscitation event allows healthcare teams to discuss the case, assess actions taken, and identify any areas for improvement. This reflective process not only helps in reinforcing correct practices but also in rectifying any gaps in the resuscitation process. It fosters a culture of learning and continuous improvement among neonatologists, pediatricians, and other team members involved.
Post-resuscitation neonatal monitoring is equally vital. After a resuscitation, newborns require close observation to ensure stable organ function and to detect any complications arising from the period of asphyxia or the resuscitation itself. Monitoring includes assessing vital signs, cardiovascular and respiratory function, and neurological status. This vigilant surveillance helps in early detection of issues such as hypoxic-ischemic encephalopathy or other organ dysfunctions, which can be critical in preventing long-term disabilities.
Together, debriefing and monitoring form an integrated approach to post-resuscitation care, ensuring that both the medical team and the newborn receive comprehensive support tailored to enhance recovery and outcomes following critical resuscitation efforts.
2. After
resuscitation..
Must have close monitoring
– Frequent assessment of
respiratory effort,
– oxygenation,
– Blood pressure, blood glucose,
– electrolytes, urine output,
– Neurologic status, and
temperature during the
immediate neonatal period.
3. Post resuscitation…
– Duration of monitoring depends on various factors like –
antenatal risk factors, perinatal transition difficulty,
immediate post natal findings etc
– Decision to do relevant investigations must be decided
based on continuing monitoring findings.
4. Debriefing
– Brief recap of the programme
– AIM of NRP
– AIM of this workshop
– Your role is important in every Delivery !!!
