What are the steps in neonatal resuscitation?

Initial Steps

1. Temperature Control.
2. Clearing the Airway.
3. Assessment of Oxygen Need and Administration of Oxygen.
4. Pulse Oximetry.
5. Administration of Supplementary Oxygen.
6. Positive-Pressure Ventilation (PPV)
7. Initial Breaths and Assisted Ventilation.
8. End-Expiratory Pressure.

What is the most important part of neonatal resuscitation?

As ventilation is the most effective action in neonatal resuscitation and because chest compressions are likely to compete with effective ventilation, rescuers should ensure that assisted ventilation is being delivered optimally before starting chest compressions.

Where do you administer resuscitation drugs in a neonate?

Intravenous Epinephrine. This is the preferred route of administration during neonatal CPR in the delivery room as it appears to be more efficacious compared to other routes (1, 8, 9). The umbilical vein is a rapidly accessible, direct intravenous route.

What is NB resuscitation?

Neonatal resuscitation is defined as the set of interventions at the time of birth to support the establishment of breathing and circulation [6].

When does resuscitation start in the delivery room?

Resuscitation of an infant with respiratory depression (term and preterm) in the delivery room (Figure 1) focuses on airway, breathing, circulation, and medications. 5 As soon as the infant is delivered, a timer or clock is started.

What do you need to know about neonatal resuscitation?

Neonatal Resuscitation? •Series of actions, used to assist newborn babies who have difficulty with making the physiological ‘transition’ from the intrauterine to extrauterine life 4. •Most newborns are vigorous at birth. •Approximately 10% will require some assistance at birth to begin breathing.

Can a baby be resuscitated after birth?

Although limited in scope to neonatal resuscitation within the context of the first minutes of life immediately after birth, many of the concepts covered in the chapter are also applicable to neonatal resuscitation in other environments and at later points in the life of the infant.

How does resuscitation of an infant with respiratory depression work?

Resuscitation of an infant with respiratory depression (term and preterm) in the delivery room ( Figure 1) focuses on airway, breathing, circulation, and medications. 5 As soon as the infant is delivered, a timer or clock is started. Once the infant is brought to the warmer, the head is kept in the “sniffing” position to open the airway.

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