Lesson 7 – Special Considerations
The appropriate action for a baby who fails to respond to resuscitation will depend on
the presentation –
failure to ventilate,
persistent cyanosis or bradycardia,
or failure to initiate spontaneous breathing.
Symptoms from choanal atresia can be helped by placing an oral airway.
Airway obstruction from Robin syndrome can be helped by inserting a nasopharyngeal tube and placing the baby prone.
In an emergency, a pneumothorax can be detected by transillumination and treated by inserting a needle into the chest.
If diaphragmeatic hernia is suspected, avoid PPV by mask. Immediately intubate the trachea and insert an orogastric tube
Persistent cyanosis and bradycardia are rarely caused by congenital heart disease.
More commonly, the persistent cyanosis and bradycardia are caused by inadequate ventilation.
A baby who has required resuscitation must have close monitoring and management of oxygenation, infection, blood pressure, fluids, apnea, blood sugar, feeding, and temperature. Be careful not to overheat the baby during or following resuscitation. If a mother has recently received narcotics and her baby fails to breathe, first assist ventilation with PPV, then consider giving naloxone to the baby
failure to ventilate,
persistent cyanosis or bradycardia,
or failure to initiate spontaneous breathing.
Symptoms from choanal atresia can be helped by placing an oral airway.
Airway obstruction from Robin syndrome can be helped by inserting a nasopharyngeal tube and placing the baby prone.
In an emergency, a pneumothorax can be detected by transillumination and treated by inserting a needle into the chest.
If diaphragmeatic hernia is suspected, avoid PPV by mask. Immediately intubate the trachea and insert an orogastric tube
Persistent cyanosis and bradycardia are rarely caused by congenital heart disease.
More commonly, the persistent cyanosis and bradycardia are caused by inadequate ventilation.
A baby who has required resuscitation must have close monitoring and management of oxygenation, infection, blood pressure, fluids, apnea, blood sugar, feeding, and temperature. Be careful not to overheat the baby during or following resuscitation. If a mother has recently received narcotics and her baby fails to breathe, first assist ventilation with PPV, then consider giving naloxone to the baby
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