Antenatal counseling, Team briefing and equipment

check

NEONATAL RESUSCITATION ALGORITHM 2015

Birth

Stay with mother for routine care:

Term? Tone? Breathing or Yes Warm and maintain normal temperature, position
crying? airway, clear secretions if needed, dry, ongoing
evaluation.
No
A
1 Warm and maintain normal temperature, position
minute airway, clear secretions if needed, dry, stimulate

Apnea, gasping, or No Labored breathing

HR below 100 bpm? or persistent cyanosis

Yes Yes
PPV Position and clear airway. SpO2 monitor.
SpO2 monitor Supplemental O2 as needed
B
Consider ECG monitor Consider CPAP

No Post-resuscitation care
HR below 100 bpm?
Team debriefing
Yes
Check chest movement
Ventilation corrective steps if needed
ETT or laryngeal mask if needed
Pre-ductal SpO2 Target
No
HR below 60 bpm?
1 min 60-65%
Yes
2 min 65-70%
Intubate if not already done, Chest compressions
3 min 70-75%
C Coordinate with PPV
100% O2 4 min 75-80%
ECG monitor
5 min 80-85%
10 min 85-95%
HR below 60 bpm?

Yes
IV epinephrine
If HR peristently below 60 bpm:
D
consider hypovolemia,
consider pneumothorax