OHSU Neonatal Resuscitation Project

Course overview

Objectives Identify key differences in neonatal resuscitation compared to adult and older pediatric resuscitation Describe the proper ventilation technique for neonates Describe the steps in supporting thermoregulation for neonates Content Case Scenario Unresponsive newborn First three actions performed upon birth Differences between adults and newborns Heart vs lung Adults can retain more oxygen in filled lungs compared to newborns Adults heart Newborns lungs Importance of ventilation in resuscitation Lungs during the fetal to newborn transition Problems that may occur without effective ventilation Neonatal Resuscitation Program NRP Advanced planning Caring for a vigorous newborn vs an unresponsive newborn Thermoregulation Skin surface area to body weight ratio Poor thermoregulation mechanisms Decreased fat stores Mechanisms of heat loss Newborn Triad of Death Comparison to Trauma Triad of Death Techniques to warm and dry a newborn Stimulation techniques for newborns Indications for bag valve mask ventilation in a newborn Heart rate less than 100 beats per minute auscultation via stethoscope Apnea Gasping respirations May also consider if oxygen saturation is not gradually increasing despite normal heart rate and breathing Proper tidal volume for newborn and bag valve mask BVM techniques Benefits of a small BVM Effective BVM techniques Volume rate positioning Ballroom breathing Waveform capnography BVM seal CPR indications Compression to ventilation ratio Introduction of medication Intraosseous access Epinephrine Scenario review