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Neonatal Resuscitation

Neonatal Resuscitation. Mary P. Martinasek, BS, RRT Director of Clinical Education Hillsborough Community College. Asphyxia. May lead to irreversible brain damage The necessity to resuscitate is related to the degree of asphyxia. Causes of fetal asphyxia. Primary vs. Secondary Apnea.

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Neonatal Resuscitation

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  1. Neonatal Resuscitation Mary P. Martinasek, BS, RRT Director of Clinical Education Hillsborough Community College

  2. Asphyxia • May lead to irreversible brain damage • The necessity to resuscitate is related to the degree of asphyxia

  3. Causes of fetal asphyxia

  4. Primary vs. Secondary Apnea • Primary • Initial asphyxia • Signs

  5. Secondary Apnea • If no resuscitation and apnea continues • Signs

  6. Effects of asphyxia on the lungs • Ineffective respirations cannot open alveoli • Pulmonary Hypertension • Pulmonary vasoconstriction

  7. Persistent Fetal Circulation • Leads to further asphyxia • Blood shunted • CO2 remains high despite ventilation

  8. Preparation for Resuscitation

  9. Purpose of Resuscitation

  10. ABC’s of Resuscitation • A – Establish an open airway • B – initiate breathing

  11. Resuscitation • C – Maintain circulation

  12. Initial steps • Dry the infant • Warm the infant • Position the infant • Suction the infant • Stimulate the infant

  13. Next step • Evaluate respirations • If none or gasping , provide PPV with 100% O2 for 15-30 seconds • If spontaneous respirations then evaluate HR

  14. Next • After 15-30 seconds of PPV or evaluation of spontaneous respirations then: • If HR is above 100 then reevaluate respirations and color • If HR is less than 60 continue/start PPV and start compressions

  15. Reassess • After 30 seconds reassess • HR greater than 60 stop compressions • HR greater than 100 and breathing stop PPV • Evaluate infant’s color

  16. Thermoregulation • Maintain a neutral thermal environment • Possible causes of heat loss

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