Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Reanimación neonatal 1,2,3

12,173 views

Published on

MIP DIANA AMERICA CHAVEZ CABRERA
INNSZ. NEONATOLOGIA-HOSPITAL DE LA MUJER
REANIMACION NEONATAL 1,2 Y 3

Published in: Health & Medicine
  • DOWNLOAD THIS BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { https://soo.gd/irt2 } ......................................................................................................................... Download Full EPUB Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download Full doc Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download PDF EBOOK here { https://soo.gd/irt2 } ......................................................................................................................... Download EPUB Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download doc Ebook here { https://soo.gd/irt2 } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book THIS can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer THIS is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story THIS Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money THIS the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths THIS Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • DOWNLOAD THIS BOOKS INTO AVAILABLE FORMAT (Unlimited) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { https://urlzs.com/UABbn } ......................................................................................................................... Download Full EPUB Ebook here { https://urlzs.com/UABbn } ......................................................................................................................... Download Full doc Ebook here { https://urlzs.com/UABbn } ......................................................................................................................... Download PDF EBOOK here { https://urlzs.com/UABbn } ......................................................................................................................... Download EPUB Ebook here { https://urlzs.com/UABbn } ......................................................................................................................... Download doc Ebook here { https://urlzs.com/UABbn } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book THIS can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer THIS is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story THIS Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money THIS the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths THIS Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • DOWNLOAD THAT BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download Full EPUB Ebook here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download Full doc Ebook here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download PDF EBOOK here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download EPUB Ebook here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download doc Ebook here { http://shorturl.at/mzUV6 } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book that can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer that is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story That Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money That the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths that Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • DOWNLOAD THAT BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download Full EPUB Ebook here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download Full doc Ebook here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download PDF EBOOK here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download EPUB Ebook here { http://shorturl.at/mzUV6 } ......................................................................................................................... Download doc Ebook here { http://shorturl.at/mzUV6 } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book that can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer that is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story That Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money That the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths that Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • DOWNLOAD THAT BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download Full EPUB Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download Full doc Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download PDF EBOOK here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download EPUB Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... Download doc Ebook here { http://bit.ly/2m6jJ5M } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book that can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer that is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story That Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money That the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths that Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here

Reanimación neonatal 1,2,3

  1. 1. MIP Diana América Chávez Cabrera
  2. 2. +American Heart Asociation, American Academy of Pediatrics "ReanimaciónNeonatal" 5° edición. 2005
  3. 3. + La ventilación de los pulmones del bebé es la acción más importante y efectiva de la reanimación neonatalAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  4. 4. + PULMONES no funcionales para intercambio gaseoso PLACENTA Permite intercambio de gases PCO2 >PO2 = Vasoconstricción Alvéolos llenos de líquido amnióticoAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  5. 5. American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  6. 6. + Aire: PO2 Vasodilatación arteriolas alveolaresAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  7. 7. + Qué ocurre durante la transición hacia la vida extrauterina  Cierre del conducto arterioso PO2  Vasodilatación de capilares alveolares con incremento del flujo pulmonar El cierre del CA completo puede durar de 12 a 24 hrsAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  8. 8. +  Dificultades in útero  desaceleraciones de la frecuencia cardíaca fetal  No respirar lo suficiente  No reabsorción líquido amniótico: HIPOXEMIA  No suficiente O2: HIPOXEMIA  No vasodilatación arteriolas pulmonares  PCA  Hipertensión Persistente del RN (independiente de niveles de O2)  Pérdida excesiva de sangre  Bradicardia por hipoxia/isquemia  Hipotensión sistémicaAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  9. 9. Esfuerzos vigorosos por inhalar aire Mecanismos compensatorios Logra oxigenación Vasoconstricción periférica VASODILATACIÓN Persistencia de la falta de O2 Daño tejidos periféricos Transición normal Daño órganos blanco MUERTEAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  10. 10. +American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  11. 11. +  Compromiso flujo sanguíneo fetal  bradicardia  Cese de esfuerzo de respirar: primera manifestación de falta de O2  apnea secundaria  BOQUEO  cese Respira cuando se esfuerzo le estimula respiratorio La FC disminuye  No responde a levemente estímulos para La TA se mantiene respirar  FC sigue disminuyendo  TA disminuye American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  12. 12. • Boqueadas hacia los 3- 5 min postre animación • Incremento inmediato FC • Incremento TA 2-3 minAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  13. 13. +  ¿Gestación a término?  ¿Líquido claro?  ¿Lloró o respiró al nacer?  ¿Tiene buen tono?American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  14. 14. American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  15. 15. American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  16. 16. + Respiración Color Frecuencia (oximetría Cardíaca de pulso)American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  17. 17. +  Describe la condición del RN inmediatamente después del nacimiento.  Provee un mecanismo estandarizado para registrar la transición fetal a neonatal  Evalúa: cardiorrespiratorio + neurológico       Las medidas de reanimación deben registrarseAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  18. 18. +American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  19. 19. American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  20. 20. +Debe estar al menos UNA PERSONA que esté disponible de manera inmediata paraasistir al RN, que sea su única responsabilidad y que inicie la reanimaciónAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  21. 21. +  Equipo de aspiración  Equipo de bolsa y máscaras (diferentes tamaños)  Equipo de intubación  MedicamentosAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  22. 22. + Cuidado de Rutina Cuidado de observación Cuidado post-reanimaciónAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  23. 23. +  Parto normal sin complicaciones  Reanimación en presencia de meconio con mejoría tras aspiración  Reanimación con medidas avanzadasAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  24. 24. +American Heart Asociation, American Academy of Pediatrics "ReanimaciónNeonatal" 5° edición. 2005
  25. 25. +1. Prematuros  más riesgo de necesitar algún tipo de reanimación2. Meconio + bebé no vigoroso  intubar para limpiar tráquea3. Llanto vigoroso=respiración adecuada 1. Jadeo = depresión neurológica = actuar como si fuera apnea secundaria = ventilación asistida4. Tono = extremidades flexionadasAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  26. 26. +American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  27. 27. American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  28. 28. American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  29. 29. +American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  30. 30. + Cuna de calor radiante para la reanimación del R.N. No cubrir con paños ni toallasAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  31. 31. + Posición de olfateoAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  32. 32. + Vigoroso: • Buen esfuerzo respiratorio • Buen tono muscular • FC >100 lpm  Laringoscopio + sonda de aspiración 12/14 Fr para aspirar boca y faringe posterior, ver gloris Introducir tubo endotraquealAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  33. 33. +American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  34. 34. + • Al aspirar no hacerlo con mucha fuerza para no estimular faringe posterior (respuesta vagal + bradicardia) • Aspirador mecánico: 100 mmHg presión negativaAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  35. 35. +American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  36. 36. +American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  37. 37. +American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  38. 38. +American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  39. 39. +  Respiraciones  Buena expansión torácica  Frecuencia y profundidad aumentar inmediatamente después de estímulos táctiles  FC (>100 lpm)  Sentir pulso base cordón umbilical  auscultación  Color  Rosados tronco y labiosAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  40. 40. + Casi todos responden al mejorar la ventilaciónAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  41. 41. + Acrocianosis sin cianosis central no indica Tx con oxígenoAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  42. 42. Máscara de oxigeno Cómo utilizar una Oxígeno sostenida sobre la bolsa inflada por flujo administrado a travéscara del bebé para dar para administrar de una tabuladorauna concentración de oxígeno a flujo libre. sostenida con la oxígeno cercana al Sostenga a la máscara mano en forma de 100%. cerca de la cara pero copa sobre la cara del no tan apretada que bebé. genere presión a la bolsa. American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  43. 43. American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  44. 44. +  Si se sigue requiriendo oxígeno suplementario por más tiempo  Húmedo y caliente  Flujos de 5 L/min es sufieciente  El oxígeno suplementario se retira a medida que va desapareciendo cianosis central  ¿Ventilación adecuada y no desaparece cianosis?  sospecha cardiopatía cianógenaAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  45. 45. +American Heart Asociation, American Academy of Pediatrics "ReanimaciónNeonatal" 5° edición. 2005
  46. 46. +American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  47. 47. +American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  48. 48. + Ventajas • Se llena espontáneamente después de que es comprimida, Desventajas • Se infla sin que haya colocación hermética • Requiere reservorio anexo • No se utiliza para proporcionar O2 a flujo libre • Sólo se puede proporcionar PEEP con ayuda de una válvula, no sirve para CPAP * Más utilizadoAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  49. 49. + Ventajas • Suministra entre 21-100% O2 • Se puede administrar O2 a flujo libre • Fácil saber si está colocada herméticamente Desventajas • Requiere cierre hermético entre máscara y paciente p/ permanecer inflada • Funciona con una fuente de gas. • Se puede administrar PEEP o CPAP sólo con Manómetro ayuda de una válvulaAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  50. 50. + Ventajas • Presión consistente • Buen control de la presión inspiratoria pico y PEEP • Sirve para administrar O2 a flujo libre • Menos fatiga Desventajas • No se cuenta con el en los hospitales de México • Requiere fuente de gas • No se puede sentir la distensibilidad del pulmón • Requiere de presión antes de ser usada Válvula de • Cambio de la presión de inflación durante la liberación de reanimación es más difícil. presión, manómetroAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  51. 51. +American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  52. 52. +  Máscaras deben ser de un tamaño adecuado correcto incorrecto pequeña redonda anatómica Posición manosAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  53. 53. +  Bolsas de flujo de tamaño adecuado  RN término requiere de 15-25 ml por ventilación (5-8 ml/kg)  AMBÚ: presión con índice, medio y pulgarAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  54. 54. + INTENSIDAD: La primera 30-40 cm H20 las siguentes 15-20 cm H2O Observar siempre la expansión pulmonar nos dará idea de cuan intenso estamos ventilando. Al presionar la bolsa energicamente podemos causar neumotoraxAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  55. 55. +  Rápida mejora de la FC, color y tono muscular  Buena expansión torácica  Auscultación de sonidos respiratorios.  Movimientos del tórax Ventila espontáneamenteAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  56. 56. + Durante 30 segundos Si el tórax no se mueve, descartar:  Sellado inadecuado Si a pesar de estas  Obstrucción de la vía aérea maniobras no  Presión insuficiente mejora:American Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005
  57. 57. +  Colocarse a los 2 minutos de iniciada la ventilación con presión positiva durante la reanimación
  58. 58. +  Ventilación a Presión Positiva  Apnea/jadeo  FC <100 lpm aunque esté respirando  Cianosis central persistente a pesar de flujo libre de O2 al 100%  Intubación  Aspiración del líquido meconial  Ventilación inefectiva con mascarilla facial  Ventilación prolongada  Si se precisa masaje cardiaco  Condiciones especiales: hernia diafragmática, prematuridad extremaAmerican Heart Asociation, American Academy of Pediatrics "Reanimación Neonatal" 5° edición. 2005

×