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<\/p>\nFrom\u00a0\u201cRESUSCITATION OF THE NEWBORN THE MANUAL FOR THE ADVANCED NEONATAL LIFE SUPPORT COURSE by the Sri Lanka College of Paediatricians (2015)<\/p>\n<\/div>\n
- \n
- CHECK CTBH<\/li>\n
- Reassess the baby\u2019s position and if there was no response, insert an oropharyngeal airway (correct size is found from the TMJ joint to the middle of the lips \u2013 along the lower jaw line) in the same direction of the final position \u2013 we don\u2019t turn it like in adults.<\/li>\n
- If there is no or little improvement you should inform you senior most definitely at this point if not already done.<\/li>\n
- CHECK CTBH \u2013 if no improvement in heart rate, repeat the 5 inflation breaths.<\/li>\n
- CHECK CTBH \u2013 give ventilatory breaths for 30 seconds if the heart rate is not detectable or still slow<\/li>\n
- You need help for chest compressions so make sure you have help!<\/li>\n
- CHECK CTBH \u2013 if heart rate still undetectable or less than 60 beats\/min, start chest compressions using 2 fingers on the sternum or by the hand encircling method and both thumbs on the sternum for compression. Compressions and ventilation breaths should be given as 3:1.<\/li>\n
- If there still isn\u2019t adequate circulation\/breathing, an umbilical venous catheter should be inserted and you need to consider giving the following drugs (hopefully by this time there should be a senior available to help).<\/li>\n<\/ul>\n
Drug doses \u2013 <\/strong><\/p>\n
- \n
- IV Adrenaline 0.1mg\/kg 1:10000 (followed by a NS flush of 10ml\/kg)<\/li>\n
- IV 4.2% Bicarbonate 2-4ml\/kg<\/li>\n
- IV 10% dextrose 2.5ml\/kg<\/li>\n<\/ol>\n
FOLLOW THE GUIDELINE BELOW PRODUCED BY THE RESUSCITATION COUNCIL<\/a> IN 2015.<\/h6>\n
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<\/p>\nTop tips<\/p>\n
\n
- \n
- BE CALM. It\u2019s completely normal to be freaking out, but this really is not the time for it.<\/li>\n
- Always calmly read the mother\u2019s BHT and look for any red signs such as late declarations in the CTG and the fetal heart rate (yes, you do need to remember a bit of your obgyn). If there are any problematic signs immediately inform your senior! Don\u2019t take any risks.<\/li>\n
- If possible always ask the midwife to check the fetal heart sounds using the hand-held Doppler in front of you and make sure she documents it. If it\u2019s an emergency section, the midwife can always do it once the patient is on the theatre bed and the anaesthetist is scrubbing for the epidural. Be there when it\u2019s done!<\/li>\n
- Check all the equipment asap \u2013 it\u2019s part of the neonatal resuscitation and I have mentioned it above, but it is vital that you have all the equipment you can possibly need there.<\/li>\n
- Be in the room when the delivery is taking place if it\u2019s the operating theatre because there can be arguments as to whether the baby cried or not. Be there, hear it for yourself.<\/li>\n
- Rub the baby vigorously if there is a weak cry. Stimulation is everything!<\/em><\/li>\n
- Call for help early! Theres no shame in it, do it!<\/li>\n
- DOCUMENT EVERYTHING \u2013 if you can\u2019t remember the time you got there write \u2018retrospective writing\u2019 as the heading and then document everything including who you are, what time the baby was delivered, cry\/no cry, the resuscitation given, e.t.c.<\/li>\n<\/ul>\n<\/blockquote>\n
Neonatal resuscitation is very important and the Sri Lanka College of Paediatricians does conduct neonatal and paediatric life support classes which are very useful and I would advice any pre-intern to attend it, because they teach you very well. The handbook can be found by clicking here<\/a>. Read it, know it!<\/p>\n
As always, if you have any questions, don\u2019t hesitate to contact me!<\/p>\n","protected":false},"excerpt":{"rendered":"
As an intern in the postnatal ward (which should happen […]<\/p>\n","protected":false},"author":3,"featured_media":906,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0},"categories":[4],"tags":[119,24,20,60,23,21,87,31,120,32,121,22,122],"_links":{"self":[{"href":"https:\/\/scribblingsofamedic.com\/index.php\/wp-json\/wp\/v2\/posts\/962"}],"collection":[{"href":"https:\/\/scribblingsofamedic.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/scribblingsofamedic.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/scribblingsofamedic.com\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/scribblingsofamedic.com\/index.php\/wp-json\/wp\/v2\/comments?post=962"}],"version-history":[{"count":1,"href":"https:\/\/scribblingsofamedic.com\/index.php\/wp-json\/wp\/v2\/posts\/962\/revisions"}],"predecessor-version":[{"id":963,"href":"https:\/\/scribblingsofamedic.com\/index.php\/wp-json\/wp\/v2\/posts\/962\/revisions\/963"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/scribblingsofamedic.com\/index.php\/wp-json\/wp\/v2\/media\/906"}],"wp:attachment":[{"href":"https:\/\/scribblingsofamedic.com\/index.php\/wp-json\/wp\/v2\/media?parent=962"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/scribblingsofamedic.com\/index.php\/wp-json\/wp\/v2\/categories?post=962"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/scribblingsofamedic.com\/index.php\/wp-json\/wp\/v2\/tags?post=962"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}