Neonatal Resuscitation

🔑 Key Priorities

  • Initiate resuscitation promptly

  • Ventilation is the cornerstone

  • Early identification of need for compressions or drugs

🧠 Team Actions

Role

Task

Team Leader

Assign roles, monitor timeline

Airway Manager

Provide effective ventilation

Circulation

Check HR, provide chest compressions if indicated

Drug Assistant

Prepare adrenaline, volume expanders

🧭 Management Algorithm

  1. Warm, dry, stimulate newborn

  2. Assess tone, breathing, heart rate

  3. If HR < 100 or not breathing: start PPV (40–60 breaths/min)

  4. If HR < 60: add chest compressions (3:1 ratio) + 100% O₂

  5. Reassess every 30 sec

  6. If HR remains < 60 despite ventilation and compressions:

    • Adrenaline 10 mcg/kg IV or via ETT

    • Consider volume expansion (normal saline 10 mL/kg)

  7. Continue until HR > 60, breathing spontaneously

🔄 Ideal Crisis Flow

         Neonatal Resuscitation
                  ↓
    Warm, Stimulate, Assess HR + Breathing
                  ↓
        PPV if HR < 100 or Apnoea
                  ↓
   Add Compressions if HR < 60 + 100% O₂
                  ↓
  Adrenaline ± Volume if No Response in 30 sec

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