CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year Diaries CRACKCast E011 - Neonatal Resuscitation
13 snips
Mar 3, 2016 Essential gear and quick checks for newborns arriving in distress. Key questions to ask during imminent delivery and the basics of the initial assessment. When and how to use oxygen, suction, chest compressions, and intubation in the first minutes. Special considerations for preterm infants and a fast neonatal resuscitation algorithm. Short reviews of common congenital airway and abdominal anomalies.
AI Snips
Chapters
Transcript
Episode notes
Suction Meconium Only In Non‑Vigorous Infants
- Suction meconium only if the neonate is non-vigorous: absent/depressed respirations, poor tone, or heart rate <100; then perform endotracheal suctioning via ETT with suction at about 100 mmHg.
- Tristan Jones advises two passes of ETT-guided suction and proceed to BVM and intubation if bradycardia and apnea persist.
Resuscitate Neonates Initially On Room Air
- Start neonatal resuscitation on room air and avoid routine high-concentration oxygen; aim for SpO2 >80% by 10 minutes and 90–95% afterwards.
- Chris Lipp warns that supplemental oxygen can be toxic to neonatal lungs, brain, and eyes, so titrate carefully.
Start Compressions If HR Remains Under 60 After Ventilation
- If adequate ventilation for 30 seconds fails to raise heart rate above 60 bpm, start chest compressions.
- Tristan Jones explains neonates are rate-dependent and cannot augment contractility, so focus on restoring rate-driven cardiac output.