newborn resus

Question 1

mx for pt Apnoeic or gasping or no muscle tone

Answer 1

• Stimulate by drying (not more than 30 secs)
• Maintain warmth
• Place supine with head / neck in neutral position
• Suction only if airway obstruction is suspected

Question 2

mx for HR < 100 and/or apnoeic or gasping

Answer 2

• IPPV @ 40 – 60 per minute on room air
• Pulse oximetry (right hand or right wrist)
• ECG monitoring if not already attached
• Reassess after 30 seconds

Question 3

mx for HR < 60

Answer 3

• CPR @ 3:1 ratio with oxygen (5 L/min)

* Consult with PIPER for all infants with HR < 60

Question 4

what is the amount of oxygen a nb needed resus is administered?

Answer 4

max 5L p/m

Question 5

mx hr 60 - 100

Answer 5

• IPPV @ 40 – 60 per minute
• Ensure adequate mask seal, airway
position and increase ventilation
pressure targeting chest rise
• If no increase in heart rate:
- IPPV with oxygen 5 L/min

Question 6

HR > 100, but SpO2 < 90%: breathing labored

Answer 6

• Breathing laboured:
- IPPV at 40-60 per minute
- Titrate oxygen (1 - 5L/min) to meet target
saturations

Question 7

HR > 100, but SpO2 < 90%: breathing normally

Answer 7

• Breathing normally:
- Maintain warmth and Tx as per CPG N0101
The newborn baby
- Titrate oxygen 1 - 2 L/min via nasal cannula
to meet target saturations
- Discontinue oxygen where SpO2 > 90%