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Neonatal Resuscitation

Neonatal Resuscitation

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Neonatal Resuscitation

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  1. Neonatal Resuscitation Mary P. Martinasek, BS, RRT Director of Clinical Education Hillsborough Community College

  2. Asphyxia • May lead to irreversible brain damage • The necessity to resuscitate is related to the degree of asphyxia

  3. Causes of fetal asphyxia

  4. Primary vs. Secondary Apnea • Primary • Initial asphyxia • Signs

  5. Secondary Apnea • If no resuscitation and apnea continues • Signs

  6. Effects of asphyxia on the lungs • Ineffective respirations cannot open alveoli • Pulmonary Hypertension • Pulmonary vasoconstriction

  7. Persistent Fetal Circulation • Leads to further asphyxia • Blood shunted • CO2 remains high despite ventilation

  8. Preparation for Resuscitation

  9. Purpose of Resuscitation

  10. ABC’s of Resuscitation • A – Establish an open airway • B – initiate breathing

  11. Resuscitation • C – Maintain circulation

  12. Initial steps • Dry the infant • Warm the infant • Position the infant • Suction the infant • Stimulate the infant

  13. Next step • Evaluate respirations • If none or gasping , provide PPV with 100% O2 for 15-30 seconds • If spontaneous respirations then evaluate HR

  14. Next • After 15-30 seconds of PPV or evaluation of spontaneous respirations then: • If HR is above 100 then reevaluate respirations and color • If HR is less than 60 continue/start PPV and start compressions

  15. Reassess • After 30 seconds reassess • HR greater than 60 stop compressions • HR greater than 100 and breathing stop PPV • Evaluate infant’s color

  16. Thermoregulation • Maintain a neutral thermal environment • Possible causes of heat loss