Orris

Neonatal resuscitation

Reading File
Neonatal resuscitation covers:
  1. Preparation and initial assessment - term gestation, tone, breathing or crying, warming and positioning
  2. Initial steps - drying, stimulation, airway positioning, clearing secret secretions only if obstructing
  3. Ventilation - indications for positive-pressure ventilation, equipment, technique, and assessing chest movement
  4. Heart-rate based escalation - ventilation corrective steps, chest compressions, vascular access, and epinephrine
  5. Special situations - meconium-stained fluid, preterm infants, delayed cord clamping, congenital anomalies
  6. Post-resuscitation care - glucose, temperature, monitoring, documentation, and family communication
At birth, most babies need only routine care. The priority for a non-vigorous newborn is effective ventilation: if the infant is apneic, gasping, or has a heart rate below 100/min after initial steps, begin positive-pressure ventilation. If the heart rate remains below 60/min despite 30 seconds of effective ventilation, start coordinated chest compressions and escalate further.
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