NEONATAL RESUSCITATION 2022.pptx

PAEDIATRIC NURSING
NEONATAL RESUSCITATION

1. MRS.JEBAKUMARI SUTHA.A PROFESSOR PAEDIATRIC DEPARTMENT GANGA COLLEGE OF NURSING COIMBATORE-22

2. NEONATAL RESUSCITATION MRS.JEBAKUMARI SUTHA ASST.PROFESSOR GANGA COLLEGE OF NURSING

3. What is Neonatal Resuscitation? Neonatal Resuscitation is an intervention after a baby is born to help it breathe and to help its heart beat.

4. 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.

5. 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.

6. 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

7. 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

8. RISK FACTORS MATERNAL OBSTETRIC ILLNESS MATERNAL MEDICAL DISEASES

9. RISK FACTORS MULTIPLE GESTATION GESTATION < 34 OR > 42 WEEKS

10. RISK FACTORS MECONIUM STAINED FETAL DISTRESS

11. EVOLUTION OF NEONATAL RESUSCITATION IN OLDEN DAYS….

12. Schultze Method The Dew method

13. Silvester’s Method It involved the abduction and adduction of the arms and shoulders, to increase and decrease the intra-thoracic capacity.

14. 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.

15. OLD NRP 2005

16. Newborn Resuscitation Algorithm - 2010

17. BEFORE NEONATAL RESUSCITATION IDENTIFY THE RISK FACTORS LOOK FOR PERSONAL LOOK FOR SUPPLIES

18. CHECK LIST

19. SUPPLIES THERMOREGULATION AUSCULTATION AIRWAY OXYGENATION VENTILATION INTUBATION MEDICATION

20. FOR THERMAL CONTROL RADIANT WARMER

21. FOR THERMAL CONTROL WARM BLANKETS

22. FOR THERMAL CONTROL PLASTIC WRAP FOR PRETERM

23. FOR INITIAL ASSESSMENT STETHESCOPE

24. FOR AIRWAY PATENCY SHOULDER ROLL SUCTION CATHETER

25. Mechanical suction apparatus

26. MOUTH ASPIRATOR MECONIUM ASPIRATOR

27. BULB SYRYNGE

28. FOR OXYGENATION CHECK OXYGEN SUPPLY FLOWMETER HUMIDIFIER

29. BLENDER PULSE OXYMETER

30. FOR PPV(VENTILATION) AMBU BAG RESERVOIR

31. CPAP

32. FACE MASK LARYNGEAL MASK AIRWAY

33. OROGASTRIC TUBE T PIECE RESUSCITATOR

34. FOR INTUBATION LARYNGOSCOPE CHECK BLADES

35. ET TUBES

36. FOR MEDICATION ADRENALINE NORMAL SALINE

37. IV catheters T-connectors

38. SYRYNGES UMBLICAL CATHETER

39. REFERENCES: Marlow R Dorothy, Redding A Barbara. Textbook of Paediatric Nursing. 6 st ed. Datta Parul . Paediatric Nursing. 2 nd ed. Gupta Piyush . Essential Paediatric Nursing. 2 nd ed. Terri Kyle. Essentials of Paediatric Nursing.1 st ed. Tom Lissauer , Graham Clayden . Illustrated Textbook of Paediatric. 3 rd ed

40. Neonatal resuscitation  training with proper facilities reduces term intrapartum -related deaths by 30%. ... CONCLUSION