Neonatal resuscitation

This is only providing the theoretical aspects of neonatal resuscitation and will be helpful for the student nurses to understand what exactly the neonatal resuscitation and compare it with practical scenario.

1. NEONATAL RESUSCITATION

2. DEFINITION Series of actions, used to as newborn babies who have difficulty with making the physiological transition from intrauterine to extrauterine life.

3. INDICATIONS FOR NEONATAL RESUSCITATION

4. PROTOCOL INVOLVED IN NEONATAL RESUSCITATION PROCEDURE OF NEONATAL RESUSCITATION IS BASED ON ACRONYM TABC T – MAINTAINANCE OF TEMPERATURE A- ESTABLISHMENT OF OPEN AIRWAY B- INITIATION OF BREATHING C- MAINTAINANCE OF CIRCULATION

5. ESSENTIAL EQUIPMENTS NEEDED FOR NEONATAL RESUSCITATION- SUCTION EQUIPMENTS- MUCUS ASPIRATOR MECHANICAL SUCTION APPARATUS SUCTION CATHETERS FEEDING TUBE

6. MUCUS ASPIRATOR NEONATE HEALTH PERSONEL OR SUCTION

7. MECHANICAL SUCTION APPARATUS AND SUCTION CATHETER SIZE #5,6,7 PRESSURE LESS THAN 80 mm of water

8. BAG AND MASK

9. INTUBATIONS EQUIPMENTS- NEONATAL LARYNGOSCOPE WITH BLADE ( 0 or 1) EXTRA BULB AND BATTERIES ENDOTRACHEAL TUBE ( 2.5, 3.0, 3.5, 4.0 mm ) STYLET AND SCISSOR

10. LARYNGOSCOPE WITH BLADE

11. EMERGENCY MEDICINES- INJ ADRENALINE INJ ATROPIN INJ SODA BICARBONATE INJ DOPAMINE RINGER LACTATE DEXTROSE 10% NORMAL SALINE INFUSION PUMP

12. MISCELLANEOUS PREWARMED LINEN TOWEL SHOULDER ROLL RADIANT WARMER STETHOSCOPE SYRINGES NEEDLES GLOVES MASK ADHESIVE TAPE THERMOMETER IV CANNULA AIRWAY

13. STEPS OF NEONATAL RESUSCITATION ASSESSMENT done in neonate in immediate phase- Is there any respiratory effort ? Color : Pale or Cyanosed ? Shake the child for response Pulse : Brachial artery Pupils : Dilated, Brain hypoxia

14. ( cont..) Assessment is done in prewarmed towel placing neonate on the preheated radiate warmer .

15. AIRWAY SNIFFING POSITION (neck slightly extended )

16. Assess for breathing ( Initial phase )

17. Interventions to be continue, if neonate do not respond -

18. Chest compression- External cardiac massage to increase intrathoracic pressure and thus increase blood circulation to vital organs. Artery to feel- Brachial artery

19. Cont.- Chest compression should be continued along ventilation – Heart rate is less than 80 b/m. Medication may be required. If neonate got HR greater than 80 b/m , stop chest compression and only give spontaneous ventilation If HR is more than 100 b/m , Spontaneous ventilation should be discontinued. Incase neonate needed prolonged ventilation, Intubate neonate. Keep neonate on ventilatory support .

20. BIBLIOGRAPHY AGRAWAL K N, PEDIATRICS AND NEONATOLOGY, 2 nd EDITION, CBS PUBLICATION, YEAR OF PUBLICATION-2008, PAGE NO. 12,13 KULKARNI M L, PEDIATRIC CARDIOLOGY,2 nd EDITION, JAYPEE PUBLICATION- 2002, PAGE NO, 266,267 GUPTA PIYUSH, ESSENTIAL PEDIATRIC NURSING, 4 th EDITION, CBS PUBLICATION- 2014, PAGE NO. 114-116 DATTA PARUL, PEDIATRIC NURSING, 4 th EDITION, JAYPEE PUBLICATION-2018, PAGE NO. 74-76

21. TAKE HOME MESSAGE FROM ALL NEONATES -