Neonatal life support

2. Introduction
• Spontaneous breathing is defined as
movement of air into and out of the lungs as a
result of work done by an individual’s
respiratory muscles.
• Oxygen is a drug and should be prescribed
with a target saturation range.
• The air that we breathe contain approximately
21% oxygen.

3. The emergency assessment includes 4
phases in sequence
• Quick Look ("BBB": Behavior - Breathing -
Body color)
• Primary evaluation ABCDE
• Secondary evaluation with a specific medical
history and physical examination
• Tertiary evaluation with laboratory tests,
imaging and complementary examinations

4. introduction
• Newborn infants who are born at term, have
had clear amniotic fluid, and are breathing or
crying and have good tone must be dried and
kept warm but do not require resuscitation
and they should be assisted under infant
warmer lamp

5. Neonatal Resuscitation
• Neonatal Resuscitation is intervention after a
baby is born to help it breathe and to help its
heart beat.
• Before a baby is born, the placenta provides
oxygen and nutrition to the blood and removes
carbon dioxide.
• After a baby is born, the lungs provide oxygen to
the blood and remove carbon dioxide.

6. Goals of resuscitation
Minimizing immediate heat loss.
Establishing normal respiration and lung
expansion.
Increasing saturation Supporting adequate
cardiac output.

7. WHO Guidelines
• Be prepared for every birth by having skill to
resuscitate and by knowing the institutions
policy on resuscitation.
• Review the risk factors for birth asphyxia.
• Clearly decide on the responsibilities of each
health care provider during resuscitation.
• Remember that the mother is also at risk of
complications

8. Preparation of Equipment
Ensure that radiant warmer on ,warm towel
available,
Turn on oxygen source,
Test the anesthesia Ambo bag for pop off
control & adequate flow.
Laryngoscope light and an appropriate blade.
Appropriate ET tube
Emergency drugs.

9. NECESSARY EQUIPMENT

11. 5 top massages

17. 3 QUESTIONS TO ANSWER WITH
YES/NO
• Term gestation? Crying or breathing? Good
muscle tone?
• YES!
• baby does not need resuscitation
• should not be separated from the mother.
• dry, place skin-to-skin with the mother
• cover with dry linen to maintain temperature
• Observe breathing, activity, and color

28. THANKS FOR YOUR
ATTENTION