NRP 2007 newborn resuscitation

1. NEWBORN RESUSCITATION CRISBERT I. CUALTEROS, M.D. http://crisbertcualteros.page.tl

6. Neonatal Flow Algorithm

8. Evaluating the Newborn Immediately after birth, the following questions must be asked: All newborns require initial assessment to determine whether resuscitation is required 

13. Tactile Stimulation 

14. Dry, Stimulate to Breathe, Reposition

18. Central Cyanosis and Acrocyanosis

23. Management of Meconium

25. Evaluation: Respirations, Heart Rate, Color 

34. Face-Mask Seal An AIRTIGHT seal is essential to achieve effective Positive Pressure Ventilation To improve face-mask seal -Use light downward pressure -Gently squeeze mandible up toward mask

37. Causes and Solutions for Inadequate Chest Expansion Condition Actions Inadequate seal Reapply mask to face and lift jaw forward Blocked airway Reposition the head, suction secretions; Ventilate with the newborn’s mouth slightly open Not enough pressure Increase pressure until there is a perceptible chest movement Consider endotracheal intubation 

39. Newborn Not Improving Heart rate less than 60 despite 30 seconds of positive-pressure ventilation

40. Continued Positive-Pressure Ventilation Orogastric tube should be inserted to relieve gastric distention

52. Chest Compressions: Coordination With Ventilation 

56. Endotracheal Intubation: to be discussed by Dr. Ronald Limchiu

60. Medication Given: No Improvement

62. Narcotic Antagonist: Naloxone Hydrochloride

63. NEWBORN RESUSCITATION SUMMARY

64. NEONATAL FLOW ALGORITHM

66. Management of Meconium

68. NEWBORN RESUSCITATION “ THANK YOU FOR YOUR ATTENTION”