Neonatology Book

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Neonatal Breathing Assessment

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  1. See Also
    1. Newborn Resuscitation
    2. Neonatal Airway Assessment
    3. Neonatal Circulation Assessment
    4. Neonatal Perfusion Assessment
    5. Neonatal Distress Causes
  2. Background
    1. PPV is single most important step in newborn CPR
  3. Approach
    1. Spontaneous Respirations
      1. Neonatal Circulation Assessment
    2. No Respirations or gasping (secondary apnea)
      1. Positive Pressure Ventilations with 100% Oxygen
      2. Provide ventilations at rate of 40-60 per minute
        1. Count as "Breath - two - three"
      3. Ventilate for 15-30 seconds before next assessment
      4. Consider Orogastric Tube for prolonged PPV
      5. Perform Neonatal Circulation Assessment
  4. Pediatric intubation indications
    1. Prolonged Positive Pressure Ventilations
    2. Ineffective Bag Valve Mask ventilation
    3. Tracheal suctioning for meconium or blood
    4. Diaphragmatic Hernia suspected
    5. Birth weight below 1500 grams (EGA under 30-31 weeks)
  5. References
    1. Kattwinkel (2000) Neonatal Resuscitation, AAP-AHA

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