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Step up in the Neonatal Resuscitation Program (NRP). Updates from NRP 7th edition

Shaban Mohamed, Mossad Abdelhak and Hasan, Taufiq Hidayat and Abu Bakar, Asrar and Anuar, Muhamad Azamin and Raza, Habibalam and Elghuwael, Ismail (2019) Step up in the Neonatal Resuscitation Program (NRP). Updates from NRP 7th edition. In: 3rd KL International Neonatology Conference (KLINC) in Conjunction with World Prematurity Day 2019, 20-23 November 2019, Sunway Medical Centre, Selangor, Malaysia. (Unpublished)

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Abstract

Background: At birth, almost 10% of newborn need intervention. The golden minutes to save the brain and vital organs are time-critical. Presentation: qualified person or resuscitation team should attend every delivery. Antepartum communication with the obstetric team gathering knowledge about maturity, amniotic fluid, number of foetuses, and other risk factors. The assigned team perform briefing, delegate workload, and check equipment. Upon delivery, it is vital to perform a rapid assessment is the baby - term, muscle tone and breathing or crying. Then commencing the initial steps of warming, sniffing position, suction, drying and stimulation. Use plastic wrap for less than 32 weeks. If the baby got abnormal respiration or HR, lung Ventilation and Ventilation Corrective Steps (MRSOPA) is the critical step with early use pulse oximetry and electronic cardiac monitor. Adjust suction pressure from 60-100 and the flowmeter to 10 L/min. Start oxygen with 21%, adjusting preductal saturation within the target zone. Use a resuscitation device capable of providing PEEP and CPAP. Continue PPV 40-60 breaths/minute until spontaneous effort. If heart rate less than 60 spite of effective 30-second ventilation intubate, start chest compression for 60 seconds by two thumbs technique. If still bradycardic, an urgent UVC/IO access and medications with adrenaline, normal saline or 0 negative blood as needed. It is important to consider special situations especially pneumothorax. Conclusion: NRP is evolving according to evidence-based medicine; all institutions should retrieve the latest NRP edition. Key behavioural skills including call for help, will lead to successful resuscitation.

Item Type: Conference or Workshop Item (Poster)
Additional Information: 8259/76489
Uncontrolled Keywords: neonatal Resuscitation Program
Subjects: R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine > Department of Paediatrics
Depositing User: Assoc.prof mossad shaban
Date Deposited: 02 Jan 2020 15:38
Last Modified: 02 Jan 2020 15:38
URI: http://irep.iium.edu.my/id/eprint/76489

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