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  • Resuscitation at Birth: NLS Resus 1

    Transféré par

    Madalina Blaga
    32 vues43 pages
    The document outlines the steps for resuscitation of newborns: 1) dry and cover the baby to prevent heat loss, 2) assess the baby's condition, 3) ensure an open airway and provide inflation breaths if needed, 4) perform chest compressions if the heart rate does not improve with ventilation, and 5) consider administering drugs. The document provides guidance on equipment, initial actions, assessment, ventilation, chest compressions, and next steps in the resuscitation process.

    Description originale:

    neonatal advanced life support

    Titre original

    16. Resuscitation at birth

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    The document outlines the steps for resuscitation of newborns: 1) dry and cover the baby to prevent heat loss, 2) assess the baby's condition, 3) ensure an open airway and provide inflation breaths if needed, 4) perform chest compressions if the heart rate does not improve with ventilation, and 5) consider administering drugs. The document provides guidance on equipment, initial actions, assessment, ventilation, chest compressions, and next steps in the resuscitation process.

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    © All Rights Reserved
    Téléchargez comme PPT, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    32 vues43 pages

    Resuscitation at Birth: NLS Resus 1

    Transféré par

    Madalina Blaga
    The document outlines the steps for resuscitation of newborns: 1) dry and cover the baby to prevent heat loss, 2) assess the baby's condition, 3) ensure an open airway and provide inflation breaths if needed, 4) perform chest compressions if the heart rate does not improve with ventilation, and 5) consider administering drugs. The document provides guidance on equipment, initial actions, assessment, ventilation, chest compressions, and next steps in the resuscitation process.

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme PPT, PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 43

    Newborn Life Support

    Resuscitation
    at birth

    RC (UK)
    NLS Resus 1
    Newborn Life Support

    Dry & cover the baby


    Assess the situation
    Airway
    Breathing - Inflation breaths
    Chest compressions
    (Drugs)
    RC (UK)
    NLS Resus 2
    Newborn Life Support

    Equipment
    Clock
    Warm dry towels
    Firm stable surface
    Gas supply and blow off valve
    Face masks and tracheal tubes
    Guedel airways
    Laryngoscope
    Lighting
    Drugs
    Sodium Bicarbonate
    Adrenaline
    Dextrose
    (Volume)
    Wide bore sucker
    Scissors and tape
    RC (UK)
    NLS Resus 3
    RC (UK)
    Photo A3
    RC (UK)
    Photo A4
    Newborn Life Support

    Initial actions

    • Start the clock


    • Dry the baby
    • Assess

    Do you need help ?


    RC (UK)
    NLS Resus 4
    Newborn Life Support

    Babies are small and wet


    They get cold very quickly

    Dry the baby and then


    cover with warm dry towels

    RC (UK)
    NLS Resus 5
    Newborn Life Support

    Initial assessment

    • Colour
    • Tone
    • Breathing
    • Heart rate
    RC (UK)
    NLS Resus 6
    Newborn Life Support

    Blue Pink
    Good tone
    Breathing regularly
    Fast heart rate

    RC (UK)
    NLS Resus 7
    Newborn Life Support

    Blue Pink
    Good tone
    Breathing regularly
    Fast heart rate

    Dry and cover


    Give to Mum
    RC (UK)
    NLS Resus 8
    Newborn Life Support

    Blue
    Moderate tone
    Breathing inadequately
    Slow heart rate

    RC (UK)
    NLS Resus 9
    Newborn Life Support

    Blue
    Moderate tone
    Breathing inadequately
    Slow heart rate
    Dry and cover
    Open the airway
    Inflation breaths?
    RC (UK) NLS Resus 10
    Newborn Life Support

    Blue or white
    Floppy
    Not breathing
    Slow or very slow heart rate

    RC (UK) NLS Resus 11


    Newborn Life Support

    Blue or white
    Floppy
    Not breathing
    Slow or very slow heart rate
    Dry and cover
    Open the airway
    Inflation breaths
    Re-assess
    RC (UK)
    Do you need help ?
    NLS Resus 12
    Newborn Life Support

    Airway
    reassess

    Breathing
    reassess - is there a response ?

    Chest compressions
    reassess

    Drugs
    RC (UK)
    NLS Resus 13
    Newborn Life Support

    Airway
    In the unconscious baby airway
    obstruction is usually due to
    loss of pharyngeal tone
    not
    foreign material in the airway
    i.e. Position not suction
    RC (UK)
    NLS Resus 14
    Newborn Life Support

    Airway & Breathing

    • Hold head in neutral position


    • Consider jaw thrust
    • Give inflation breaths

    RC (UK)
    NLS Resus 15
    Newborn Life Support

    RC (UK)
    Photo A5
    Newborn Life Support

    RC (UK)
    Photo A6
    Newborn Life Support

    RC (UK)
    Photo A7
    Newborn Life Support

    RC (UK)
    Photo A8
    Newborn Life Support

    RC (UK)
    Photo A9
    Newborn Life Support

    RC (UK)
    Photo A10
    Newborn Life Support

    RC (UK)
    Photo A11
    Newborn Life Support

    RC (UK)
    Photo A12
    Newborn Life Support

    RC (UK)
    Photo A13
    Newborn Life Support

    RC (UK) Photo A14


    Newborn Life Support

    Inflation breaths

    Five breaths,
    each sustained for 2-3 seconds
    at 30 cms of water pressure

    RC (UK)
    NLS Resus 16
    Newborn Life Support

    Inflation breaths
    The heart rate will usually respond
    to lung inflation

    If there is no heart rate response


    check for chest movement

    RC (UK)
    NLS Resus 17
    Newborn Life Support

    Mask inflation is
    nearly always effective

    Only about 1 in 500


    appear to need intubation

    RC (UK) NLS Resus 18


    Newborn Life Support

    About 95% of babies


    for whom help is called
    will recover within a minute or two
    once air enters the lungs

    RC (UK)
    NLS Resus 19
    Newborn Life Support

    Reassess

    RC (UK)
    NLS Resus 20
    Newborn Life Support

    Chest moving well


    Heart rate normal

    Baby still not breathing ?

    Ventilate at ~ 30 breaths per minute

    RC (UK)
    NLS Resus 21
    Newborn Life Support

    Reassess
    If the heart rate is slow
    and not improving

    Consider chest compressions

    RC (UK)
    NLS Resus 22
    Newborn Life Support

    Chest compressions
    If the chest is not moving
    it is not being inflated
    Check A & B
    Do not start chest compressions
    until the chest is being inflated

    RC (UK)
    NLS Resus 23
    Newborn Life Support

    Chest compressions

    You want to move oxygenated blood


    from the lungs to the coronary arteries

    Its not that far and won’t take long

    RC (UK)
    NLS Resus 24
    Newborn Life Support

    Reassess
    Has the heart rate improved ?
    No ?
    Check airway
    Check chest movement
    Check compressions
    RC (UK)
    NLS Resus 25
    Newborn Life Support

    Consider drugs

    • Sodium bicarbonate
    • Adrenaline
    • Dextrose

    • (Volume - rarely)
    RC (UK)
    NLS Resus 26
    Newborn Life Support

    What next ?
    Reassessment
    Temperature
    Blood sugar

    Parents
    Records
    RC (UK)
    NLS Resus 27
    Newborn Life Support

    Poor outlook if :-

    No output at 15 minutes
    or
    Heart rate responds but not
    breathing regularly by 30 mins

    RC (UK)
    NLS Resus 28
    Newborn Life Support

    Any questions ?

    RC (UK)
    NLS Resus 29
    Newborn Life Support

    Summary
    Dry & cover the baby
    Assess the situation
    Airway
    Breathing - Inflation breaths
    Chest compressions
    (Drugs)
    RC (UK)
    NLS Resus 30
    Newborn Life Support

    Dry &
    cover
    Airway

    A &
    Breathing

    B C CC
    D
    RC (UK) D
    NLS Resus 31

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