Resuscitation (Neonatal): Difference between revisions

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== Principles of Resuscitation ==
#REDIRECT[[Neonatal 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)
 
<br>
 
{| width="200" border="1" cellpadding="1" cellspacing="1"
|-
| Tube Size
| Wt (gm)
| Age (wk)
|-
| 2.5
| &lt;1000
| &lt;28
|-
| 3.0
| 1000-2000
| 28-34
|-
| 3.5
| 2000-3000
| 34-38
|-
| 4.0
| &gt;3000
| &gt;38
|}
 
<br>
 
*Ventilate
**Apneic and/or bradycardic (&lt;100 bpm)
***Attempt tactile stimulation first
***If unsuccessful perform BMV at 40-60 breaths/min
***After intubation use:
****Inflation pressure ~ 20
 
<br>
 
<br>
 
== Work-Up ==
 
== DDx ==
 
== Treatment ==
 
== See Also ==
 
[[Pediatric Advanced Life Support (PALS)]]
 
== Source ==
 
Tintinalli
 
[[Category:Peds]] [[Category:Airway/Resus]]

Latest revision as of 18:53, 14 May 2015