Newborn resuscitation - Revision history

Danbot: Strip excess bold

2026-03-22T09:28:16Z

Strip excess bold

Danbot: Add MedicationDose entries for epinephrine, dextrose, sodium bicarbonate

2026-03-20T21:17:43Z

Add MedicationDose entries for epinephrine, dextrose, sodium bicarbonate

@@ Línea 188: / Línea 188: @@
 **Use lowest peak inspiratory pressure that allows for adequate chest rise
 *Transfer to tertiary center with NICU and pediatric surgeon
 ==See Also==

Rossdonaldson1: /* Patient have poor tone or is apneic? */

2020-12-12T13:55:23Z

Patient have poor tone or is apneic?

@@ Línea 50: / Línea 50: @@
 #**SpO2 monitor: Place O2 sat monitor preductal (right hand or wrist)
 #**Initial resuscitation >35 weeks 21% FiO2, < 35 weeks 21-30% FiO2
-#**Titrate O2 to target sat (see table; hyperoxia can be harmful)
+#**Titrate O2 to target sat (see table above; hyperoxia can be harmful)
 *If patient on reexam just has persistent cyanosis or labored breathing:
 **For improving ineffective ventilation, think '''MRSOPA'''

Rossdonaldson1: /* See Also */

2020-07-02T16:42:35Z

Rossdonaldson1: /* See Also */

2020-07-02T16:41:52Z

Rossdonaldson1: /* Background */

2020-07-01T16:51:24Z

Background

← Revisión anterior		Revisión del 16:51 1 jul 2020
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	''Use this note for immediate after-delivery resuscitation; see [[neonatal resuscitation]] for the non-delivery related resuscitation of the newborn.''		''Use this note for immediate after-delivery resuscitation; see [[neonatal resuscitation]] for the non-delivery related resuscitation of the newborn.''
	==Background==		==Background==
	~~===~~Newborn ~~Vital Signs===~~		{{Newborn vital signs}}
	*Heart rate: >100 beats/minute
	*Respiratory rate: 40-80 breaths/minute
	*Sytolic blood pressure: 60-70 mmHg
	**^<3kg (premature) SBP = 40-60 mmHg

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: /* Newborn Vital Signs */

2020-07-01T16:50:55Z

Newborn Vital Signs

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	*Heart rate: >100 beats/minute		*Heart rate: >100 beats/minute
	*Respiratory rate: 40-80 breaths/minute		*Respiratory rate: 40-80 breaths/minute
	*Sytolic blood pressure: 60-70 ~~mmHG~~		*Sytolic blood pressure: 60-70 mmHg
	**^<3kg (premature) SBP = 40-60 mmHg		**^<3kg (premature) SBP = 40-60 mmHg

Rossdonaldson1: /* Newborn Vital Signs */

2020-07-01T16:50:45Z

Newborn Vital Signs

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	==Background==		==Background==
	===Newborn Vital Signs===		===Newborn Vital Signs===
	*Heart rate: >100		*Heart rate: >100 beats/minute
	*Respiratory rate: 40-80		*Respiratory rate: 40-80 breaths/minute
	*Sytolic blood pressure: 60-70		*Sytolic blood pressure: 60-70 mmHG
	**^<3kg (premature) SBP = 40-60		**^<3kg (premature) SBP = 40-60 mmHg

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: /* Newborn Vital Signs */

2020-07-01T16:50:11Z

Newborn Vital Signs

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Línea 2:		Línea 2:
	==Background==		==Background==
	===Newborn Vital Signs===		===Newborn Vital Signs===
	*~~HR RR SBP^~~		*Heart rate: >100
	*~~>100~~ 40-80 60-70		*Respiratory rate: 40-80
			*Sytolic blood pressure: 60-70
	^<3kg (premature) SBP = 40-60		**^<3kg (premature) SBP = 40-60

	==Differential Diagnosis==		==Differential Diagnosis==

Kxl328: /* See Also */

2020-06-13T11:52:26Z

← Revisión anterior		Revisión del 16:42 2 jul 2020
Línea 206:		Línea 206:

	==See Also==		==See Also==
	*[[~~Neonatal Resuscitation~~]]		*[[Emergent delivery]]
	*[[Umbilical ~~Vein Catheterization~~]]		*[[Umbilical vein catheterization]]
	*[[Transient tachypnea of the newborn]]		*[[Transient tachypnea of the newborn]]
	*[[Emergent delivery]]
	*[[Pediatric Advanced Life Support (PALS)]]
	*[https://emergencymedicinecases.com/neonatal-resuscitation/ EM Cases - Neonatal Resuscitation May 2020]

	{{Pediatric critical care pages}}		{{Pediatric critical care pages}}

			==External Links==
			*[https://emergencymedicinecases.com/neonatal-resuscitation/ EM Cases - Neonatal Resuscitation May 2020]

	==References==		==References==

← Revisión anterior		Revisión del 16:41 2 jul 2020
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	*[[Pediatric Advanced Life Support (PALS)]]		*[[Pediatric Advanced Life Support (PALS)]]
	*[https://emergencymedicinecases.com/neonatal-resuscitation/ EM Cases - Neonatal Resuscitation May 2020]		*[https://emergencymedicinecases.com/neonatal-resuscitation/ EM Cases - Neonatal Resuscitation May 2020]

			{{Pediatric critical care pages}}

	==References==		==References==

← Revisión anterior		Revisión del 11:52 13 jun 2020
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	*[[Emergent delivery]]		*[[Emergent delivery]]
	*[[Pediatric Advanced Life Support (PALS)]]		*[[Pediatric Advanced Life Support (PALS)]]
			*[https://emergencymedicinecases.com/neonatal-resuscitation/ EM Cases - Neonatal Resuscitation May 2020]

	==References==		==References==

← Revisión anterior		Revisión del 09:28 22 mar 2026
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	#**Titrate O2 to target sat (see table above; hyperoxia can be harmful)		#**Titrate O2 to target sat (see table above; hyperoxia can be harmful)
	*If patient on reexam just has persistent cyanosis or labored breathing:		*If patient on reexam just has persistent cyanosis or labored breathing:
	**For improving ineffective ventilation, think ~~'''~~MRSOPA~~'''~~		**For improving ineffective ventilation, think MRSOPA
	***~~'''M'''ask~~ is tightly applied to the face		***Mask is tightly applied to the face
	***~~'''R'''e~~-position the head into the “sniffing” orientation		***Re-position the head into the “sniffing” orientation
	***~~'''S'''uction~~ the nares and the pharynx		***Suction the nares and the pharynx
	***~~'''O'''pen~~ the mouth		***Open the mouth
	***~~'''P'''ressure~~ of PPV can be increased to a max of 40 cm H2O		***Pressure of PPV can be increased to a max of 40 cm H2O
	***~~'''A'''lternate~~ airway, i.e. ET, should be considered and planned for		***Alternate airway, i.e. ET, should be considered and planned for

	====On reassessment after 30 seconds of above intervention====		====On reassessment after 30 seconds of above intervention====
	*If HR continues to be below 100		*If HR continues to be below 100
	**Check chest movement and make sure patient is being ventilated appropriately		**Check chest movement and make sure patient is being ventilated appropriately
	**Ventilation corrective steps (~~'''~~MRSOPA~~'''~~)		**Ventilation corrective steps (MRSOPA)
	**If ventilation not improving, [[neonatal intubation\|intubate]] patient and continue resuscitation until HR > 100 BPM		**If ventilation not improving, [[neonatal intubation\|intubate]] patient and continue resuscitation until HR > 100 BPM
	***ET (indications); ETT size = Gest age (wks) / 10^^		***ET (indications); ETT size = Gest age (wks) / 10^^