Newborn arrest
Patient (condition)
 
Aliases:
Neonatal arrest

Topic aliases are alternate phrasings for a particular topic.


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3:1 respirations:chest compressions as per Australian Resuscitation Council refl.in/6c

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Oct 12, 2012
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For term babies, commencement of resuscitation in room air is more strongly endorsed. For premature babies, either room air or blended air & oxygen refl.in/5r

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Mar 26, 2012
Current ARC Guidelines recommend that air should be used initially, with supplemental oxygen reserved for infants whose condition does not improve during the first minutes of life. refl.in/8v
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In the event of unexpected subglottic obstruction (eg tracheal web):
Call the ENT surgeons in.
Ensure mask ventilation is adequate, if not, pass size 5 bougie & railroad size 2.5 ETT.
Backup: 16g Needle Tracheotomy (Cricothyroidotomy may be difficult - see comment below)

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Jan 01, 2013
Cricothyroidotomy practically impossible in neonate, would suggest needle tracheotomy.
#example
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Good point, thanks Val.
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Initial pressure settings for term infants;
PIP 30cm H2O,
PEEP 5cm H2O,
& for preterm infants;
PIP 25cm H2O,
PEEP 5cm H2O.

Pressures should be adjusted according to response refl.in/5r

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Sep 18, 2013
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Meconium stained liquour? Delay tactile stimulation to avoid gasping in the infant with an oropharynx full of meconium.

If meconium stained liquour is present and the infant is non-vigorous, perform laryngoscopy and perform subglottic suction, or suction pharynx to 5cm with 12/14g catheter if unable to perform laryngoscopy. refl.in/8t.

In the vigorous infant (good muscle tone, active breathing efforts, HR >100BPM), provide standard care and do not suction. refl.in/8u

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Sep 18, 2013
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The rate for assisted ventilation is 60 bpm. refl.in/8v

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May 18, 2011
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Chest compressions are indicated when the heart rate is <60/min despite adequate assisted ventilation having been provided for 30 seconds. refl.in/6c

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Dec 03, 2012
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Volume load: 10 - 15 ml/kg normal saline repeated 2 or 3 times refl.in/8v

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May 18, 2011
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Adrenaline dose when administered via the ETT -ETT dose is 5-10 times IV dose resus.org.au

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Sep 18, 2013
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Naloxone is contraindicated in infants of narcotic dependent mothers as it may result in rapid withdrawal with seizures. refl.in/8v

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Dec 03, 2012
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IV adrenaline dose

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Dec 03, 2012
10mcg/kg or 0.1ml/kg of 1:10,000 solution refl.in/6d
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Good summary: RCH Neonatal Handbook
www.netsvic.org.au/nets/h...

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Dec 02, 2012
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Newborn life support algorithm refl.in/nls from www.apls.org.au/algorithm...

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Mar 12, 2012
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