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Neonatal life support
The document discusses neonatal resuscitation. It begins by defining spontaneous breathing and noting that oxygen should be prescribed with a target saturation range. It then outlines the 4 phases of emergency assessment and introduces neonatal resuscitation as intervention to help babies breathe and for their hearts to beat after birth, as the placenta no longer provides oxygen and removes carbon dioxide. The goals of resuscitation are to minimize heat loss, establish normal respiration and lung expansion, increase oxygen saturation, and support adequate cardiac output. WHO guidelines on preparation and responsibilities during resuscitation are also presented.
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Neonatal life support
- 2. Introduction • Spontaneous breathingis defined as movement of air into and out of the lungs as a result of work done by an individual’s respiratory muscles. • Oxygen is a drug and should be prescribed with a target saturation range. • The air that we breathe contain approximately 21% oxygen.
- 3. The emergency assessmentincludes 4 phases in sequence • Quick Look ("BBB": Behavior - Breathing - Body color) • Primary evaluation ABCDE • Secondary evaluation with a specific medical history and physical examination • Tertiary evaluation with laboratory tests, imaging and complementary examinations
- 4. introduction • Newborn infantswho are born at term, have had clear amniotic fluid, and are breathing or crying and have good tone must be dried and kept warm but do not require resuscitation and they should be assisted under infant warmer lamp
- 5. Neonatal Resuscitation • NeonatalResuscitation is intervention after a baby is born to help it breathe and to help its heart beat. • Before a baby is born, the placenta provides oxygen and nutrition to the blood and removes carbon dioxide. • After a baby is born, the lungs provide oxygen to the blood and remove carbon dioxide.
- 6. Goals of resuscitation Minimizingimmediate heat loss. Establishing normal respiration and lung expansion. Increasing saturation Supporting adequate cardiac output.
- 7. WHO Guidelines • Beprepared for every birth by having skill to resuscitate and by knowing the institutions policy on resuscitation. • Review the risk factors for birth asphyxia. • Clearly decide on the responsibilities of each health care provider during resuscitation. • Remember that the mother is also at risk of complications
- 8. Preparation of Equipment Ensurethat radiant warmer on ,warm towel available, Turn on oxygen source, Test the anesthesia Ambo bag for pop off control & adequate flow. Laryngoscope light and an appropriate blade. Appropriate ET tube Emergency drugs.
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- 17. 3 QUESTIONS TOANSWER WITH YES/NO • Term gestation? Crying or breathing? Good muscle tone? • YES! • baby does not need resuscitation • should not be separated from the mother. • dry, place skin-to-skin with the mother • cover with dry linen to maintain temperature • Observe breathing, activity, and color
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