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Neonatal Resuscitation Algorithm

The document outlines a neonatal resuscitation algorithm that provides guidance for care immediately after birth based on factors like gestation, tone, breathing, heart rate. It details steps to take like warming, positioning, clearing secretions or providing positive pressure ventilation, oxygen and other interventions depending on the infant's condition.

Uploaded by

Dedy Tesna Amijaya
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© © All Rights Reserved
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900 views1 page

Neonatal Resuscitation Algorithm

The document outlines a neonatal resuscitation algorithm that provides guidance for care immediately after birth based on factors like gestation, tone, breathing, heart rate. It details steps to take like warming, positioning, clearing secretions or providing positive pressure ventilation, oxygen and other interventions depending on the infant's condition.

Uploaded by

Dedy Tesna Amijaya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Neonatal Resuscitation Algorithm2015 Update

Antenatal counseling
Team briefing and equipment check

Birth

Infant stays with mother for routine


Term gestation? Yes care: warm and maintain normal
Good tone? temperature, position airway, clear
Breathing or crying? secretions if needed, dry.
Ongoing evaluation
No

Warm and maintain normal temperature,


1 minute

position airway, clear secretions if


needed, dry, stimulate

No
Apnea or gasping? Labored breathing or
HR below 100/min? persistent cyanosis?

Yes Yes

PPV Position and clear airway


Spo2 monitor Spo2 monitor
Consider ECG monitor Supplementary O2 as needed
Consider CPAP

No Postresuscitation care
HR below 100/min?
Team debriefing
Yes

Check chest movement


Ventilation corrective steps if needed
Targeted Preductal Spo2
ETT or laryngeal mask if needed
After Birth

1 min 60%-65%
No
HR below 60/min? 2 min 65%-70%
Yes 3 min 70%-75%

Intubate if not already done 4 min 75%-80%


Chest compressions
Coordinate with PPV 5 min 80%-85%
100% O2 10 min 85%-95%
ECG monitor
Consider emergency UVC

HR below 60/min?

Yes

IV epinephrine
If HR persistently below 60/min
Consider hypovolemia
Consider pneumothorax 2015 American Heart Association

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