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MRS.JEBAKUMARI SUTHA.A
PROFESSOR
PAEDIATRIC DEPARTMENT
GANGA COLLEGE OF NURSING
COIMBATORE-22
NEONATAL RESUSCITATION
MRS.JEBAKUMARI SUTHA
ASST.PROFESSOR
GANGA COLLEGE OF NURSING
What is Neonatal Resuscitation?
• Neonatal Resuscitation is an intervention
after a baby is born to help it breathe
and to help its heart beat.
TRANSITION FROM PLACENTA TO LUNGS
• 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.
WHEN THIS TRANSITION OCCURS?
• The transition from
using the placenta to
using the lungs for gas
exchange begins when
the umbilical cord is
clamped or tied off, and
the baby has its first
breath.
NEONATAL RESUSCITATION-WHY?
• 100 million babies born worldwide annually
• 5 million neonatal deaths occur annually
• 19% of 5 million neonatal deaths occur
annually due to birth asphyxia
• Better outcome of these babies are possible
only by neonatal resuscitation
NEONATAL RESUSCITATION-WHY?
• 90% of neonates successful transition without
any help
• 10% require some assistance to begin
breathing
• 1% require intensive resuscitative efforts
• Successful neonatal resuscitation prevent
large proportion of deaths
RISK FACTORS
• MATERNAL OBSTETRIC
ILLNESS
• MATERNAL MEDICAL
DISEASES
RISK FACTORS
• MULTIPLE GESTATION • GESTATION < 34 OR >
42 WEEKS
RISK FACTORS
• MECONIUM STAINED • FETAL DISTRESS
EVOLUTION OF NEONATAL RESUSCITATION
IN OLDEN DAYS….
Schultze Method The Dew method
Silvester’s Method
• It involved the abduction and adduction
of the arms and shoulders, to increase
and decrease the intra-thoracic capacity.
Neonatal Resuscitation Program
• The Neonatal Resuscitation Program was
developed by the American Heart Association
and the American Academy of Pediatrics to
teach an evidence-based approach
to newborn care. NRP is an
educational program established in 1987 to
address newborn transfers to the NICU.
OLD NRP
2005
Newborn Resuscitation
Algorithm - 2010
.
Kattwinkel J et al. Pediatrics 2010;126:e1400-e1413
©2010 by American Academy of Pediatrics
NEONATAL RESUSCITATION 2022.pptx
BEFORE NEONATAL RESUSCITATION
• IDENTIFY THE RISK FACTORS
• LOOK FOR PERSONAL
• LOOK FOR SUPPLIES
CHECK LIST
SUPPLIES
• THERMOREGULATION
• AUSCULTATION
• AIRWAY
• OXYGENATION
• VENTILATION
• INTUBATION
• MEDICATION
FOR THERMAL CONTROL
RADIANT WARMER
FOR THERMAL CONTROL
WARM BLANKETS
FOR THERMAL CONTROL
PLASTIC WRAP FOR PRETERM
FOR INITIAL ASSESSMENT
• STETHESCOPE
FOR AIRWAY PATENCY
 SHOULDER
ROLL
 SUCTION
CATHETER
Mechanical suction apparatus
 MOUTH
ASPIRATOR
 MECONIUM
ASPIRATOR
 BULB SYRYNGE
FOR OXYGENATION
 CHECK OXYGEN
SUPPLY
 FLOWMETER
 HUMIDIFIER
 BLENDER  PULSE OXYMETER
FOR PPV(VENTILATION)
 AMBU BAG  RESERVOIR
CPAP
 FACE MASK  LARYNGEAL MASK
AIRWAY
 OROGASTRIC
TUBE
 T PIECE
RESUSCITATOR
FOR INTUBATION
 LARYNGOSCOPE  CHECK BLADES
ET TUBES
FOR MEDICATION
 ADRENALINE  NORMAL SALINE
IV catheters T-connectors
 SYRYNGES  UMBLICAL
CATHETER
REFERENCES:
1. Marlow R Dorothy, Redding A Barbara.
Textbook of Paediatric Nursing. 6st ed.
2. Datta Parul. Paediatric Nursing. 2nd ed.
3. Gupta Piyush. Essential Paediatric
Nursing. 2nd ed.
4. Terri Kyle. Essentials of Paediatric
Nursing.1st ed.
5. Tom Lissauer, Graham Clayden.
Illustrated Textbook of Paediatric. 3rd
ed
Neonatal resuscitation training
with proper facilities reduces term
intrapartum-related deaths by
30%. ...
CONCLUSION
NEONATAL RESUSCITATION 2022.pptx
NEONATAL RESUSCITATION 2022.pptx

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