Contents Chapter Topic Page Neonatology Respiratory Cardiology

• Drugs are available (and prepared if history suggestive of need). (See the
preparations used in section of drugs)
RESUSCITATION
1. Place infant on preheated radiant warmer
2. If thick or particulate meconium is in the amniotic fluid, perform a tracheal suctioning.
(See notes on Meconium stained liquor).
3. Position the infant with neck slightly extended and suction the mouth first and then
the nose. Suction should be gentle, brief and not too deep (may cause reflex
bradycardia).
4. Dry amniotic fluid thoroughly from the baby and remove the wet linen from contact
with infant.
5. Evaluate the respiration, heart rate and colour.
6. NG tube insertion after 2 minutes of Bag-valve-mask PPV.
7. Indications for Endotracheal Intubation:
When prolonged PPV is required.
When bag-and mask ventilation is ineffective
When tracheal suctioning is required.
When diaphragmatic hernia is suspected.
8. It is important to minimise hypoxia during intubation. Steps to do so include:
Providing free-flow oxygen during intubation without interfering with the
procedure.
Limiting intubation attempts to 20 seconds.
Providing appropriate ventilation with bag and mask using 100% O2 before and
between intubation attempts.
9. Vascular Access – peripheral IV line; umbilical vein or intraosseous.