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Simulation: Precipitous Delivery & Neonatal Resuscitation. Cindy Hsu, MD, PhD February 19 th , 2014. Thanks to the West Philly water, you will see one!. The Delivery. How to catch the baby Nuchal cord issues Wrapped around the neck Too tight Prolapse Delivery of the placenta - PowerPoint PPT Presentation
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Simulation: Precipitous Delivery & Neonatal Resuscitation
Cindy Hsu, MD, PhD
February 19th, 2014
Thanks to the West Philly water, you will see one!
The Delivery
• How to catch the baby
• Nuchal cord issues– Wrapped around the neck– Too tight– Prolapse
• Delivery of the placenta
• Post-partum care
http://www.brooksidepress.org/Products/Obstetric_and_Newborn_Care_II/lesson_3_Section_1.htm
The Somersault
Neonatal
Resuscitation
First, ask 3 questions:
What about the APGAR?
How do you check the pulse?What kind of air do you use?
Check the HR at 30 sec
Check the HR at 1 min
Consider meds
Don’t forget about hypothermia and hypoglycemia!
Remember the targeted O2sat
Meconium
• If baby is fine, perform routine care
• If patient is under distress, perform deep suction using an ETT and meconium aspirator
IntubationETT
LMA: Size 1 is suitable for infants up to 5kg
BladeSize 1 for term infantsSize 0 for premature infantsSize 00 for extremely low birth weight infants
Access
• IO
• Umbilical lines
• IO
• Umbilical lines
Medications
• Epinephrine– 0.1 to 0.3mL/kg of 1:10,000 (10-30 mcg/kg)– Can repeat q3-5min if HR < 60
• Glucose– 2mL/kg of D10W
• Fluid– 10cc/kg NS over 5-10 minutes, can give 2nd
dose
Questions?
Helpful videos
• http://www.youtube.com/watch?v=h-QnKT-moeY
• http://academiclifeinem.com/patwari-academy-videos-neonatal-resuscitation/
• http://www.brooksidepress.org/Products/Obstetric_and_Newborn_Care_II/lesson_3_Section_1.htm