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AlgorithmNeonatal Resuscitation 200615

The document outlines a neonatal resuscitation algorithm that provides guidance for caring for newborn infants based on their condition at birth. It details steps for routine care of healthy newborns as well as intervention levels for infants needing additional support including positive pressure ventilation, intubation, chest compressions, epinephrine, or other treatments depending on their heart rate and other factors.

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Ratna Tamba
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148 views

AlgorithmNeonatal Resuscitation 200615

The document outlines a neonatal resuscitation algorithm that provides guidance for caring for newborn infants based on their condition at birth. It details steps for routine care of healthy newborns as well as intervention levels for infants needing additional support including positive pressure ventilation, intubation, chest compressions, epinephrine, or other treatments depending on their heart rate and other factors.

Uploaded by

Ratna Tamba
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Neonatal Resuscitation Algorithm

Antenatal counseling
Team briefing and equipment check

Birth

Infant stays with mother for routine


Term gestation? Yes care: warm and maintain normal
Good tone? temperature, position airway, clear
Breathing or crying? secretions if needed, dry.
Ongoing evaluation
No

Warm and maintain normal temperature,


1 minute

position airway, clear secretions if


needed, dry, stimulate

No
Apnea or gasping? Labored breathing or
HR below 100/min? persistent cyanosis?

Yes Yes

PPV Position and clear airway


Spo2 monitor Spo2 monitor
Consider ECG monitor Supplementary O2 as needed
Consider CPAP

No Postresuscitation care
HR below 100/min?
Team debriefing
Yes

Check chest movement


Ventilation corrective steps if needed
Targeted Preductal Spo2
ETT or laryngeal mask if needed
After Birth

  1 min 60%-65%


No
HR below 60/min?   2 min 65%-70%

Yes   3 min 70%-75%

Intubate if not already done   4 min 75%-80%


Chest compressions
  5 min 80%-85%
Coordinate with PPV
100% O2  10 min 85%-95%
ECG monitor
Consider emergency UVC

HR below 60/min?

Yes

IV epinephrine
If HR persistently below 60/min
Consider hypovolemia
Consider pneumothorax
© 2020 American Heart Association

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