1 / 15

Neonatal Resuscitation

Neonatal Resuscitation. -ALS- RC 290. Golden Rule: Always Establish Airway and Ventilation Before Using ALS Procedures. Apgar Scores: 7-10:Free flow O2 4-6: PPV with 100% FIO2 0-3: Intubate, PPV with 100% FIO2, ALS. Note which ones can be given down the ET Tube!.

barrett-sharp
Télécharger la présentation

Neonatal Resuscitation

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Neonatal Resuscitation -ALS- RC 290

  2. Golden Rule: Always Establish Airway and Ventilation Before Using ALS Procedures Apgar Scores: • 7-10:Free flow O2 • 4-6: PPV with 100% FIO2 • 0-3: Intubate, PPV with 100% FIO2, ALS

  3. Note which ones can be given down the ET Tube!

  4. Sodium Bicarb: Dose with ABGs • Bicarb Dose = [BE] x weight in kilograms 3 • Give half of this dose or [BE] x weight in kilos 6 • Remember, sodium bicarb will increase CO2 production, so an airway and ventilation must be established before giving this drug!

  5. Hypoglycemia and Glucose • Hypoglycemic if blood glucose < than 40 mg/dl • Treatment: • Initially a bolus of 200mg/kg of D10W (10% glucose in water) • IV infusion of 4-8 mg/kg/min

  6. Artificial Airways Indications (same as an adult): • Relief of upper airway obstruction • Facilitation of secretion removal • Protection of the airway, eg prevent aspiration • Facilitation of mechanical ventilation

  7. Neonatal ET Tubes • ID is 2.5mm, 3.0mm, 3.5mm, or 4.0 mm • No cuff! • Murphy hole helps maintain patency in case tip becomes occluded

  8. Selecting the Proper Sized ET Tube

  9. Intubation Procedure , and good Pox

  10. Note: Use a straight blade as if it is curved.

  11. Securing an ET Tube Each hospital does it differently

  12. Trauma Hypoxia Atelectasis Airway obstruction and increased W.O.B. Use only size 5 Fr or 8 Fr Arrhythmia Hypotension Infection Suctioning: Hazards like an adult but infant is more susceptible

  13. Suction Technique (using 2 people) Hyperinflate and hyperoxygenate by increasing rate

  14. Time to rock and roll!

More Related