This document outlines the essential equipment needed for newborn resuscitation and stabilization. It includes items for temperature maintenance like warmed towels and blankets; suction equipment like bulb syringes and suction catheters; oxygen supplies and flow meters; monitoring tools like stethoscopes and pulse oximeters; resuscitation devices like bags and masks; intubation equipment; gastric decompression tubes and syringes; intravenous access items; tape and bandages; drug administration syringes and needles; and emergency medications and fluids. The goal is to have a fully stocked and organized resuscitation area prepared to stabilize any newborn in need of support.

2. Appropriate area for resuscitation of the
newborn
- Infant resuscitaire / incubator/ radiant warmer with inbuilt
heater and light, or heat source (bulb 200 watt)
- A firm, padded resuscitation surface and an overhead warmer
- Clock with timer in seconds
- Good light in the resuscitation area

3. Temperature maintenance
- Dry, warmed towels, blanket, shoulder roll, baby clothing
- Polyethylene bag or sheet (food grade, heat resistant) for
infants <1500 grams birth weight
- Woollen caps (various sizes)

4. Suction/ clearing airway
• Rubber bulb syringe or
• De Lee mucus sucker or extractor
• Suction catheter 6-8 fr for preterm and 10 fr for term neonate
• Electric suction machine

5. Medical gases/ oxygen supply
- A source of medical oxygen (cylinder or reticulated) with flow
meter allowing a flow rate of up to 10 L/minute and humidifier
- Oxygen and air tubing (green argyle)
- Air/oxygen blender

6. Monitoring equipment
- Stethoscope (neonatal size)
- Pulse oximeter and neonatal probe
- Posy to secure oximeter sensor
- Low reading thermometer

7. Resuscitation
- Self inflating bag of neonatal size (250-500 ml)
- Face masks round type in a range of sizes suitable( for
premature no 0 and term infants no 1)
- Removable oxygen tubing's
- T-piece device
- Neonatal ventilator

8. Oropharyngeal

9. Intubation equipment
- Laryngoscope handle with straight blades: sizes 00, 0 & 1
- Spare bulbs & batteries (unless using a fiber optic laryngoscope handle)
- Endotracheal tubes (un-cuffed): sizes 2.5, 3.0, 3.5, 4.0 mm
- Endotracheal stylet
- Scissors
- Oropharyngeal airways sizes 00 & 0
- Magill’s forceps, neonatal size (optional) (Magill forceps are angled forceps used to
guide a tracheal tube into the larynx or a nasogastric tube into the esophagus under
direct vision.)
- Meconium aspirator to apply suction directly to the endotracheal tube (optional)

11. Equipment for gastric decompression
- If ppv continues more than 2 minutes then it is to be done
- Feeding tubes: sizes Fg 6, 8 and/or Fg 10
- 10 mL syringe for aspirating the gastric contents

12. Equipment for umbilical venous
catheterization
- Paediatric drip set
- Umbilical artery catheters:
oFg 5.0 > 1000 gram infant (or Size Fg 5 feeding tube if
umbilical catheters are not available)
oFg 3.5 < 1000 gram infant (in a tertiary birth centre)

13. Equipment for peripheral intravenous
cannulation or intra-osseous cannulation
- Intravenous cannula: size Fg 24
- Scalp vein set
- Skin preparation solution and Sterile gauze pieces
- Three way
- Arm board
- Surgical gloves

14. Equipment for securing IV’s, UVC’s and
endotracheal tubes
- Non-latex adhesive tape
- Cotton ties / bandage
- Thin DuoDerm™ (or similar) to protect the skin on the face
- Scissors

15. Equipment for drug administration
- Syringes: 1 ml, 2 mL, 5 mL, 10 mL & 20 mL
- Needles: Fg 19, Fg 21, Fg 23, Fg 25 and blunt drawing up
needles

16. Drugs and fluids
- Adrenaline 1: 10,000 concentration (0.1 mg/mL)
- Volume expanders:
o0.9% sodium chloride
oO Rh negative blood (needs to be readily available)
- 0.9% sodium chloride for priming and flushing intravenous lines
- Sterile water for injection