Neonatal Resuscitation

🔑 Key Priorities

• Initiate resuscitation promptly

• Ventilation is the cornerstone

• Early identification of need for compressions or drugs

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🧠 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

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🧭 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

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🔄 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