Neonatal Resuscitation2

Resuscitation of the newly born European Resuscitation Council EPLS

International guidelines for neonatal resuscitation International Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: a Consensus on Science Resuscitation 2000; 46:3-430

[object Object],[object Object],Introduction

Key point The most important and effective action in neonatal resuscitation is: Ventilation with oxygen

[object Object],[object Object],Evaluation of the newly born Warm and dry the baby Clear the airway

[object Object],[object Object],Asphyxia at birth

Resuscitation of the newly born

[object Object],[object Object],Evaluation of the newly born

[object Object],[object Object],[object Object],[object Object],[object Object],Visual inspection of the newly born

[object Object],Evaluation of the newly born ,[object Object],[object Object],[object Object]

[object Object],[object Object],Respiration Start positive pressure ventilation immediately

[object Object],[object Object],Heart rate

[object Object],Heart rate Positive pressure ventilation with 100% oxygen

[object Object],[object Object],[object Object],Colour

[object Object],Colour 100% free-flow O 2

[object Object],[object Object],[object Object],[object Object],Prematurity

[object Object],[object Object],[object Object],A- AIRWAY Clearing the airway

[object Object],[object Object],[object Object],[object Object],[object Object],B - BREATHING & STIMULATION Bag and mask ventilation with 100% oxygen

[object Object],[object Object],B - BREATHING Meconium

[object Object],Meconium ,[object Object],[object Object],[object Object]

[object Object],[object Object],Meconium

[object Object],[object Object],[object Object],B - BREATHING Oxygen

[object Object],[object Object],[object Object],[object Object],[object Object],B - BREATHING Positive Pressure Ventilation

[object Object],[object Object],B - BREATHING Artificial Ventilation

[object Object],Bag and Mask Ventilation

[object Object],[object Object],Bag and Mask Ventilation

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Endotracheal intubation

[object Object],[object Object],Endotracheal intubation Weight in kilograms + 6 cm = insertion depth at lip in cm

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Endotracheal intubation

[object Object],[object Object],[object Object],Laryngeal mask airway

[object Object],[object Object],[object Object],C - CIRCULATION Chest compressions

[object Object],Chest compressions ,[object Object]

[object Object],[object Object],Chest compressions

[object Object],Routes of drugs administration ,[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],Intraosseous access

[object Object],Emergency drugs and fluids ,[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],Emergency drugs and fluids

[object Object],[object Object],[object Object],Emergency drugs and fluids 10 ml/kg i.v. over 5 to 10 minutes

Algorithm of resuscitation at birth

Initial assessment of the newly born ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],YES

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],NO Initial assessment of the newly born (*) consider endotracheal intubation

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Continue evaluation Standard care ,[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],Ongoing support Positive pressure ventilation and oxygen Heart rate < 60 ,[object Object],[object Object]

[object Object],[object Object],[object Object],Positive pressure ventilation and chest compressions ,[object Object],Adrenaline (*) (via intravenous, endotracheal, intraosseus)

[object Object],[object Object],[object Object],[object Object],[object Object],Transport of the newly born

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Ethics

Neonatal Resuscitation2

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Neonatal Resuscitation2