Tuesday, 31 January 2017

Video: Resuscitation Of A Newborn

πŸ“Ή:Resuscitation of a newborn with a very poor APGAR score (Watch the baby turn pink at the end)
πŸ“šπŸ“šInitial resuscitative measures for all neonates include providing warmth, drying, and stimulating breathing (eg, flicking the soles of the feet, rubbing the back).
πŸ’‰πŸ’Š If there is obvious obstruction to spontaneous breathing, the airway is cleared using bulb suction or a suction catheter. If deep suctioning is required, appropriately sized catheters must be used. Infants not responding with appropriate respirations and heart rate may require positive pressure ventilation (PPV) and O2 therapy.
πŸ’‰πŸ’ŠThe infant is quickly dried and placed supine under a preheated overhead warmer in the delivery room. The neck is supported in the neutral position (sniffing position) to maintain an open airway.

πŸ“πŸ“—If spontaneous respirations are absent, the infant is gasping, or heart rate is < 100 beats/min, respirations are assisted with PPV via mask, or sometimes laryngeal mask airway or endotracheal tube.
πŸ“πŸ“™O2 saturation is monitored using a pulse oximeter placed to measure preductal saturation (typically on the right hand or wrist). It is particularly important to keep pressures low in extremely premature and/or extremely low-birth-weight infants, whose lungs are easily injured by PPV.

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