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Arc Neonatal Flowchart
Arc Neonatal Flowchart
Breathingorcrying?
Goodtone?
Termgestation?
Breathingorcrying?
Goodtone?
Routinecare:
Preventheatloss
Ongoingevaluation
Routinecare:
Preventheatloss
Ongoingevaluation
Yes
Staywith
mother
Preventheatloss
Ensureopenairway
Stimulate
Preventheatloss
Ensureopenairway
Stimulate
No
HRbelow100?
Gaspingorapnoea?
HRbelow100?
Gaspingorapnoea?
Laboured
breathing
orpersistent
cyanosis?
Laboured
breathing
orpersistent
cyanosis?
No
No
Positivepressureventilation
SpO
2
monitoring
Positivepressureventilation
SpO
2
monitoring
Ensureopenairway
SpO
2
monitoring
ConsiderCPAP
Ensureopenairway
SpO
2
monitoring
ConsiderCPAP
Yes
HRbelow100?
HRbelow100?
Ensureopenairway
Reduceleaks
Considerincreasingpressure
&oxygen
Ensureopenairway
Reduceleaks
Considerincreasingpressure
&oxygen
Postresuscitation
care
Postresuscitation
care
No
Yes
Yes
HRbelow60?
HRbelow60?
Addchestcompressions
3compressionstoeachbreath
100%oxygen
Considerintubation
orLMA
Addchestcompressions
3compressionstoeachbreath
100%oxygen
Considerintubation
orLMA
Yes
HRbelow60?
HRbelow60?
Venousaccess,adrenaline
Considervolumeexpansion
Venousaccess,adrenaline
Considervolumeexpansion
Targetedpreductal
SpO
2
afterbirth
1min
6070%
2min
6585%
3min
7090%
4min
7590%
5min
8090%
10min
8590%
Targetedpreductal
SpO
2
afterbirth
1min
6070%
2min
6585%
3min
7090%
4min
7590%
5min
8090%
10min
8590%
Yes
AdrenalineIV1030mcg/kg
(0.10.3mL/kgof1:10,000
solution)
AdrenalineIV1030mcg/kg
(0.10.3mL/kgof1:10,000
solution)