Neonatal resusitation
If newborn is:
1. Not crying/ breathing, or
2. Floppy
Resuscitate!
Steps - Do the next step if current is ineffective:
1. Not crying/ breathing, or
2. Floppy
Resuscitate!
Steps - Do the next step if current is ineffective:
- Stimulate - drying (wiping from face downwards)
- Airway
- Breathing (IPPV if HR <100)
- Circulation (3:1 CPR is HR <60)
- Drugs (adrenaline - 1:10,000 (10-30mcg/kg) +/- volume expanders - O -ve RBC if blood loss, otherwise N saline (10-20ml/kg))
Important points
Source
www.neoresus.org.au 2014
- IPPV @ 40-60bpm if HR <100
- ECC @ 100 pumps per minute if HR<60
- If <28w gestation, put neonate into plastic bag, exposing only the head (prevent hypothermia and abrasion)
Source
www.neoresus.org.au 2014