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Neonatal Resuscitation
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Last Update
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Published
10/08/2024
Normal labour and birth leads to {{c1::hypoxia::O2 stat?}}.
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Extended hypoxia to the brain leads to {{c1::hypoxic-ischaemic encephalopathy (HIE)}}, with potentially life-long consequences in the form of {{c2:…
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Babies have a large surface area to weight ratio, and get {{c1::cold}} very easily
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Babies are born wet, so they lose {{c1::heat}} rapidly
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Babies that are born through {{c1::meconium}} may have this in their mouth or airway
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After birth there is a significant volume of fetal blood in the placenta. Delayed clamping of the umbilical cord provides time for this blood to en…
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The only negative effect of delayed cord clamping is an increase in {{c1::neonatal jaundice}}, potentially requiring more phototherapy.
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Principles of Neonatal Resuscitation{{c1::Warm}} The BabyCalculate the {{c1::APGAR Score}} at {{c1::1, 5 and 10}} minutes, whilst resuscitation contin…
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Delaying cord clamping leads to improved:Blood: {{c1::haemoglobin}} Blood: {{c1::iron stores}} Circulation: {{c1::blood pressure}…
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{{c1::Therapeutic hypothermia}} is a {{c2::neuroprotective management for neonates that have sustained an ischemic-hypoxic injury}}. Cooling for {{c1:…
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Asphysxia right after birth:When a foetus/newborn is first deprived of oxygen, an initial period of rapid breathing is followed by {{c1::primary apnoe…
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Differentials for respiratory distress in a term infant: (4) Pulmonary differentials{{c1::TTN Meconium aspirationPneumothoraxPersistent Pulm…
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Differentials for respiratory distress in a term infant: (4) Non-pulmonary differentials{{c1::CHDIntracranial birth trauma/asphyxiaSevere an…
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Transient Tachypnea of the newborn:• Caused by {{c1::delayed reabsorption of amniotic fluid}} in the lungs • More common with birth by {{c1::caesarean…
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Risk factors for pneumonia in term infants:1. {{c1::PPROM/Chorioamnionitis}} 2. {{c1::Maternal pyrexia in labour/History of GBS}} 3. {{c1::Low Birth W…
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10/08/2024
Investigations if you are suspecting a pneumothorax in a term infant:{{c1::Transillumination}}{{c1::CXR}}
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10/08/2024
PPHN (Persistent Pulmonary HTN of newborn) can cause {{c1::right to left shunting}} of blood in the heart via the PDA causing cyanosis!
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10/08/2024
Management of PPHN of newborn: Aim is to {{c1::maintain systolic BP whilst reducing pulmonary arterial pressure}}{{c1::Mechanical venitlati…
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Delayed cord clamping is between {{c1::30-60}} extra seconds
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10/08/2024
Types of respiratory support: Scale wiseOxygen: if baby is breathing but {{c1::low O2 sats}}CPAP: If increased {{c1::WOB, breathes in but not out well…
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