Neonatal resuscitation:

 

Basics:

Before getting involved

·     Check patient + monitors + surgical field

·     Ask assistant to watch mother

·     Call neonatal code blue

Pick role

·     Helper

·     Airway

Assessment

·     Heart rate

·     Breathing

·     Colour

·     Activity

·     Vocalisation

Resuscitation

1.   Suction: only if meconium

2.   Rub vigorously

3.   If HR <100: IPPV 30/5cmH2O + RR 40-60 + room air

4.   If HR <60: CPR 3:1 + two thumbs

Targets

·     At 1 min: SpO2 60-70%

·     At 5 min: SpO2 80-90%

 

Extra:

Access

·     Intubate: size = age +10, depth = weight + 6cm

·     Cannulate umbilical artery (mouth of smiley face)

Drugs

·     Adrenaline 10mcg/kg

·     Atropine 20mcg/kg

·     IV crystalloid 20mL/kg

If premature

·     Avoid supplemental oxygen

·     PIP 20-25cmH2O

 

 

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