Resuscitation (Neonatal): Difference between revisions
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==Principles of Resuscitation== | == Principles of Resuscitation == | ||
===Thermal Regulation=== | |||
*Place newborn in neutral thermal environment even before initiate ABCs | === Thermal Regulation === | ||
*Place newborn in neutral thermal environment even before initiate ABCs | |||
*Gently dry newborn with warm towel | *Gently dry newborn with warm towel | ||
===Airway=== | |||
*Optimize | === Airway === | ||
**Position head in sniffing position | |||
**Suction nose and mouth | *Optimize | ||
*Intubate | **Position head in sniffing position | ||
**Indicated if pt is poorly responsive or fails BVM | **Suction nose and mouth | ||
**If have time precut ET tube at 13cm mark | *Intubate | ||
**Indicated if pt is poorly responsive or fails BVM | |||
**If have time precut ET tube at 13cm mark | |||
**After intubation suction trachea to prevent aspiration (if +meconium) | **After intubation suction trachea to prevent aspiration (if +meconium) | ||
<br> | |||
{| width="200" border="1" cellpadding="1" cellspacing="1" | |||
|- | |||
| Tube Size | |||
| Wt (gm) | |||
| Age (wk) | |||
|- | |||
| 2.5 | |||
| <1000 | |||
| <28 | |||
|- | |||
| 3.0 | |||
| 1000-2000 | |||
| 28-34 | |||
|- | |||
| 3.5 | |||
| 2000-3000 | |||
| 34-38 | |||
|- | |||
| 4.0 | |||
| >3000 | |||
| >38 | |||
|} | |||
<br> | |||
*Ventilate | |||
*Ventilate | **Apneic and/or bradycardic (<100 bpm) | ||
**Apneic and/or bradycardic ( | ***Attempt tactile stimulation first | ||
***Attempt tactile stimulation first | ***If unsuccessful perform BMV at 40-60 breaths/min | ||
***If unsuccessful perform BMV at 40-60 breaths/min | ***After intubation use: | ||
***After intubation use: | |||
****Inflation pressure ~ 20 | ****Inflation pressure ~ 20 | ||
<br> | |||
<br> | |||
== Work-Up == | |||
==DDx== | == DDx == | ||
== Treatment == | |||
== | == See Also == | ||
[[Pediatric Advanced Life Support (PALS)]] | |||
== | == Source == | ||
Tintinalli | |||
Tintinalli | |||
[[Category:Peds]] | [[Category:Peds]] [[Category:Airway/Resus]] | ||
[[Category:Airway/Resus]] | |||
Revision as of 20:19, 8 July 2011
Principles of Resuscitation
Thermal Regulation
- Place newborn in neutral thermal environment even before initiate ABCs
- Gently dry newborn with warm towel
Airway
- Optimize
- Position head in sniffing position
- Suction nose and mouth
- Intubate
- Indicated if pt is poorly responsive or fails BVM
- If have time precut ET tube at 13cm mark
- After intubation suction trachea to prevent aspiration (if +meconium)
| Tube Size | Wt (gm) | Age (wk) |
| 2.5 | <1000 | <28 |
| 3.0 | 1000-2000 | 28-34 |
| 3.5 | 2000-3000 | 34-38 |
| 4.0 | >3000 | >38 |
- Ventilate
- Apneic and/or bradycardic (<100 bpm)
- Attempt tactile stimulation first
- If unsuccessful perform BMV at 40-60 breaths/min
- After intubation use:
- Inflation pressure ~ 20
- Apneic and/or bradycardic (<100 bpm)
Work-Up
DDx
Treatment
See Also
Pediatric Advanced Life Support (PALS)
Source
Tintinalli