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Neonatal resuscitation skills are important because of the potential for serious disability or death in high-risk infants and in a few unpredicted full term low-risk deliveries.
Preparation
Advanced preparation requires acquisition and maintenance of proper equipment and supplies.
Immediate Preparation
Suction, oxygen, proper-sized face mask and the resuscitation bag should be checked.
Appropriately sized ET tubes, cut to 13 cm, should be laid out.
Medications should be prepared and an umbilical catheter and tray should be prepared.
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Neonatal Resuscitation Equipment and Supplies |
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Suction Equipment |
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Bulb syringe Suction catheters,5 (or 6), 8, 10 Fr Meconium aspirator |
Mechanical Suction 8 Fr feeding tube and 20 cc syringe |
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Bag-and-Mask Equipment |
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Oral airways, newborn and prema ture sizes Infant resuscitation bag with a pressure-release valve/pressure gauge to give 90-100% O2 |
Oxygen with flow meter and tubing Cushion rim face masks in newborn and premature sizes |
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Intubation Equipment |
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Laryngoscope with straight blades, No. O (preterm) and No.1(term newborn). Extra bulbs and batter ies for laryngoscope Endotracheal tubes, Size 2.5, 3.0, 3.5, 4.0 mm |
Stylet Scissors Gloves |
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Medications |
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Epinephrine 1:10,000, 3 cc or 10 cc ampules Naloxone 0.4 mg/mL,1 mL am pules Dextrose 10% in water, 250 cc Sterile water, 30 cc |
Volume expanders-one or more of these: Albumin 5% solution Normal Saline Ringer's Lactate solution |
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Miscellaneous |
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Radiant warmer and towels or blankets Stethoscope |
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