Newborn life support summary

  1. Delay cord clamping if possible
  2. Start clock
  3. Dry/wrap, stimulate, keep warm
  4. Assess colour, tone, breathing, HR
  5. Open airway = head in neutral position

if gasping/not breathing

  1. 5 inflations in air
  2. PEEP 5-6 cmH2O
  3. Apply SpO2/ECG
  4. If no ↑ HR, look for chest movement
  5. Chest not moving:
    1. check position
    2. 2 person technique
    3. suction, airway adjuncts
    4. repeat inflation breaths
    5. ?increase inflation pressure
  6. Reassess
  7. Once chest is moving, continue ventilation breaths

HR not detectable or HR <60 after 40 seconds of ventilation

  1. chest compressions 3:1
  2. fiO2 100%
  3. intubate if possible, or insert LMA
    1. laryngoscope → igel
    2. T-piece
  4. if no improvement,
    1. vascular access and drugs
    2. consider other factors

#neonates #resuscitation