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    Neonatal BLS

    Uploaded by

    PatrickNichols
    This document provides guidelines for neonatal resuscitation including normal delivery procedures, equipment needed, causes of neonatal distress, resuscitation algorithms, bagging techniques, suctioning, chest compressions, and the desired end result of stabilizing the newborn's heart rate, respirations, and color. Key steps include clearing the airway with a bulb syringe, providing warmth, stimulation if not breathing, assessing vital signs, giving eye prophylaxis and vitamin K, and providing oxygen as needed. Meconium babies require aggressive airway suctioning prior to drying if not vigorous. Bagging is done at 5-8 LPM with a 15-20 cmH2O pressure to get a slight chest rise

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd

    Neonatal BLS

    Uploaded by

    PatrickNichols
    81 views18 pages
    This document provides guidelines for neonatal resuscitation including normal delivery procedures, equipment needed, causes of neonatal distress, resuscitation algorithms, bagging techniques, suctioning, chest compressions, and the desired end result of stabilizing the newborn's heart rate, respirations, and color. Key steps include clearing the airway with a bulb syringe, providing warmth, stimulation if not breathing, assessing vital signs, giving eye prophylaxis and vitamin K, and providing oxygen as needed. Meconium babies require aggressive airway suctioning prior to drying if not vigorous. Bagging is done at 5-8 LPM with a 15-20 cmH2O pressure to get a slight chest rise

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    Neonatal BLS (1).ppt

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    This document provides guidelines for neonatal resuscitation including normal delivery procedures, equipment needed, causes of neonatal distress, resuscitation algorithms, bagging techniques, suctioning, chest compressions, and the desired end result of stabilizing the newborn's heart rate, respirations, and color. Key steps include clearing the airway with a bulb syringe, providing warmth, stimulation if not breathing, assessing vital signs, giving eye prophylaxis and vitamin K, and providing oxygen as needed. Meconium babies require aggressive airway suctioning prior to drying if not vigorous. Bagging is done at 5-8 LPM with a 15-20 cmH2O pressure to get a slight chest rise

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    81 views18 pages

    Neonatal BLS

    Uploaded by

    PatrickNichols
    This document provides guidelines for neonatal resuscitation including normal delivery procedures, equipment needed, causes of neonatal distress, resuscitation algorithms, bagging techniques, suctioning, chest compressions, and the desired end result of stabilizing the newborn's heart rate, respirations, and color. Key steps include clearing the airway with a bulb syringe, providing warmth, stimulation if not breathing, assessing vital signs, giving eye prophylaxis and vitamin K, and providing oxygen as needed. Meconium babies require aggressive airway suctioning prior to drying if not vigorous. Bagging is done at 5-8 LPM with a 15-20 cmH2O pressure to get a slight chest rise

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 18

    Neonatal Resuscitation

    -BLS-

    RC 290
    Equipment Needed
    Overhead radiant warmer
    Bulb syringe
    BVM with heated &
    humidified O2
    De Lee suction device
    Size 5 Fr suction catheters
    and wall suction
    Laryngoscope with proper
    sized blades
    Proper sized ET tubes
    Crash cart/Drug box
    Normal Delivery Procedures
    Place under warmer and
    towel dry
    Use bulb syringe to clear
    mouth, than nose
    Tactile stimulation if not
    breathing yet
    Auscultate heart and lungs &
    assess color
    Prophylactic silver nitrate or
    erythromycin drops in eyes
    Vitamin K injection
    Examine umbilical cord
    Free flow O2 as needed
    Free Flow O2

    Hold O2 connecting tubing ½ inch from infants face.


    Run flow at 5 LPM
    Resuscitation

    Maternal causes: Fetal Causes


    – Drugs – Cord compression
    – Cardiopulmonary – Prematurity
    problems – Congenital anomalies
    – Infection – Multiple pregnancy
    – Dystocia – Meconium aspiration
    – Utero-Placental problems – Hypothermia
    – shock
    NRP Resuscitation Algorithm
    Meconium Baby
    Airway is aggressively
    cleared prior to drying if
    infant is meconium stained
    AND baby is NOT vigorous!
    – Use ET tube as a suction
    device
    May need PD & P after heart
    rate, respirations, and color
    stabilize
    If baby is meconium stained
    but vigorous, proceed with
    normal resuscitation
    Bagging a Neonate
    BVM Devices
    BVM Devices

    Flow-dependent anesthesia bag


    Bagging Technique

    Place infant in “sniffing”


    position by placing a
    small towel under the
    shoulders
    Do not hyperextend
    neck!
    Bagging technique (cont.)

    Apply correctly sized


    mask over infants mouth
    and nose with apex of
    mask over bridge of nose
    Run either type of bag at 5-8
    LPM to get 100% FIO2
    – If self-inflating bag, use
    reservoir also
    Watch for slight rise of chest
    (Vt ~ 20-30 ml)
    Rate is 40-60
    Pressure
    – First breath may require 30-40
    cmH2O
    – Then, with normal lungs, 15-20
    cmH2O
    – Poor lung compliance may
    require sustained 20-40
    cmH2O
    If BVM ventilation lasts over 2
    minutes…

    Than an orogastric tube has to be


    inserted
    Neonatal PD & P

    Meconium babies and/or Maintain airway


    C section babies throughout using one
    hand on head
    No more than 20
    degrees of Suction PRN
    Trendelenberg or ICP will Besides suction, need
    increase BVM and O2
    Monitor heart rate,
    Percuss anterior and respirations and color
    lateral surfaces 1-2 throughout
    minutes
    Neonatal PD & P Percussors
    Neonatal Chest Compressions

    Asystole or bradycardia less than 60 that is not increasing with


    airway and ventilation
    Use thumbs on lower half of sternum (one finger’s width below
    nipple line)
    Compress ½ to ¾ of an inch, 120 times per minute
    Compression ventilation ratio is 3:1 (pause to give breath)
    The End Result

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