Resuscitation (Neonatal)

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

See Also

Pediatric Advanced Life Support (PALS)

Source

Tintinalli