Newborn Resuscitation Flashcards
What is the most important aspect of neonatal resus?
Respiration
Where does the umbilical vein joint the systemic circulation?
Portal vein
What adaptations occur at birth?
Lung fill with air Pulmonary vascular resistance: decreases Pulmonary blood flow: increase Systemic vascular resistance: increases Ductus arteriosus: function closure
What do you assess at birth?
Is it to term (>37 weeks)
Breathing/crying
Good tone
What do you do if the tone/airway/not to term?
Maintain normal temp
Ensure open airway
Stimulate
> reassess HR and breathing
Which drugs are used in neonatal resus?
IV adrenaline
Volume expansion - Saline or O neg blood
How do you assess the HR in a newborn? What is the normal HR?
Auscultate, palpate the umbilical
110-160
What are some signs of a compromised newborn?
Baby not crying Baby is not breathing or gasping Baby is very floppy Bradycardia (less than 100) Cyanosis
When do you ventilate a baby? How do you tell if it’s working?
No breathing
Bradycardia
- Increased HR
What is the algorithm for resus?
Airway
Breathing
Circulation
Drugs
When do you O2 in respiratory?
If SaO2 not responding to RA alone
If under 32 gestation - 30% to start
What are the indications for ET use?
Continuous ventilation required
If focusing on circulation
if diaphragmatic hernia
When do you start chest compression?
HR less than 60bpm after 1 minute of affective bag and mask
- Increase O2 to 100%
What are the techniques for chest compression?
Two thumbs
Two finger technique when IV assess is being made
What is the ratio for chest compression to breaths?
3 compressions to 1 breath
