Neonatal Resuscitation Algorithm with 2015 Updates
| Alert the Neonatal Resuscitation Team. Counsel Parents. | |||||||||||||||
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One Minute | Deliver the Neonate | ||||||||||||||
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| Assess tone, is the neonate breathing, crying and at term? |  Yes | Place baby with mom. Supportive care. Continue to newborn care and evaluation. Repeat APGAR at 5 min. | |||||||||||||
No | | ||||||||||||||
| Suction for secretions, warm neonate, clear the airway and stimulate the neonate | |||||||||||||||
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| Assess heart rate (should be greater than 100 BPM/MIN), is the neonate having apnea or gasping for air? | No | Is the Neonate blue? Having difficulty breathing? | |||||||||||||
Yes | | Yes | | ||||||||||||
| Begin positive pressure ventilation. Place ECG and SpO2 monitor. | If needed start supplementing O2, suction to clear the airway and start CPAP if needed. | ||||||||||||||
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| Check Heart Rate? If less than 100 BPM/Min | No | Debrief the team and follow postresuscitation care. | |||||||||||||
Yes | | ||||||||||||||
| Assess for breathing and chest movement, laryngeal mask placement. Follow ventilation protocol if warranted. | |||||||||||||||
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No | Check Heart Rate? If less than 60 BPM/Min |
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| Intubate. Begin resuscitation, chest compressions and positive pressure ventilation, keep SpO2 at 100%. Continue monitoring ECG, SpO2 and evaluate for umbilical vein catheter. | |||||||||||||||
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| Check Heart Rate? If less than 60 BPM/min | |||||||||||||||
Yes |  | ||||||||||||||
| Administer IV epinephrine, if the heart rate doesn’t increase access for other causes i.e. hypovolemia or pneumothorax. | |||||||||||||||
