Newborn intubation

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Post on 26-May-2015

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  • 1. ENDOTRACHEAL INTUBATION

2. NEONATAL FLOW ALGORITHM BIRTH

  • Term gestation?
  • Amnlotic fluid clear?
  • Breathing or crying?
  • Good muscle tone?u
  • Provide warmth
  • Position clear airway*
  • (as necessary)
  • Dry, stimulate, reposition
  • Routine Care
  • Provide warmth
  • Clear airway if needed
  • Dry
  • Assess color

Evaluate respiration heart rate and color Give supplementary oxygen Observational Care Provide positive-pressure ventilation* Post-resuscitation care

  • Provide positive-pressure
  • ventilation*
  • Administer chest compression

Administer epinephrine and/ or volume* * Endotracheal intubation maybe considered at several steps HR 100 & Pink PinkBreathing, HR>100 but cyanosisBreathing, HR>100 & PinkYes No Apneic or HR 38 wks >3000 gm 4.0 (ID mm) 35-38 wks 2000-3000 gm 3.5 (ID mm) 28-34 wks 1000-2000 gm 3.0 (ID mm) < 28 wks