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Updated NRP Algorithum

The document outlines a neonatal resuscitation algorithm that includes steps for antenatal counseling, team briefing, and equipment checks prior to birth. It provides a flowchart for assessing newborns based on their gestational age, tone, and breathing status, detailing interventions such as positive pressure ventilation, chest compressions, and medication administration. The algorithm adheres to the latest American Heart Association standards and guidelines from 2020.

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Ashwani Sood
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832 views1 page

Updated NRP Algorithum

The document outlines a neonatal resuscitation algorithm that includes steps for antenatal counseling, team briefing, and equipment checks prior to birth. It provides a flowchart for assessing newborns based on their gestational age, tone, and breathing status, detailing interventions such as positive pressure ventilation, chest compressions, and medication administration. The algorithm adheres to the latest American Heart Association standards and guidelines from 2020.

Uploaded by

Ashwani Sood
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

NEONATAL RESUSCITATION ALGORITHM

Antenatal counseling.
Team briefing.
Equipment check.
BIRTH

Term gestation?
Good tone? YES Stay with mother for initial steps, routine care, ongoing evaluation.
Breathing or crying?

NO
1 MINUTE

Warm, dry, stimulate, position airway, suction if needed.

Apnea or gasping?
HR <100 bpm? NO Labored breathing or persistent cyanosis?

YES YES

PPV. Position airway, suction if needed.


Pulse oximeter. Pulse oximeter. O2 if needed.
Consider cardiac monitor. Consider CPAP.

HR <100 bpm? NO Post-resuscitation care.


Team debriefing.
YES

Ensure adequate ventilation.


Consider ETT or laryngeal mask.
Cardiac monitor.
Target O2 Saturation Table
NO 1 min 60% - 65%
HR <60 bpm?
2 min 65% - 70%
YES
3 min 70% - 75%
ETT or laryngeal mask. 4 min 75% - 80%
Chest compressions. 5 min 80% - 85%
Coordinate with PPV- 100% O2.
UVC. 10 min 85% - 95%
NO Initial O2 concentration for PPV
HR <60bpm?
YES
~ 35 weeks’ GA 21% O2
< 35 weeks’ GA 21% - 30% O2
IV epinephrine every 3-5 minutes.
If HR remains <60 bpm,
• Consider hypovolemia.
• Consider pneumothorax.

This Algorithm is based on the latest (2020) American Heart Association standards and guidelines
© Professional Medical Certifications

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