Neonatal Resuscitation

Resuscitation=Revival of an apparently dead

The methodology of resuscitation-

Or management of birth Asphyxia-

Perinatal hypoxia of whatever cause,if sufficiently severe produce brainstem depression and secondary Apnea that is unresponsive to sensory stimulation

Death from apnea may be prevents by resuscitation, provide that the basic cause of hypoxia can be eliminated whithin a reasonable time , during which artificial resuscitation,if necessary should be carried out, external cardiac massage, correction of acidosis and circulatory support with durg may be important,

Hence,the way in which an asphyxiated newborn is managed at birth determine the immediate morbidity and quality of life among survival

Complications (Important one's) and there management-

1)Intractable birth asphyxia-

If the ventilation remains unsatisfactory even after 10 minutes of birth, following condition must be suspected

A) Meconium aspirations or tracheal plug

B) Congenital malformation

C)Shock (carcinogenic and hypovolemic)

D) Profound metabolic attertion

E) Pueumothorax and pneumomediastinum

F) Interacrinal hemorrhage

G) Pulmonary hemorrhage

H) Immaturity less than 28 weeks

I) Paralysis of respiratory muscle

J) Congenital pneumonia

K) Hydrops fetalis

Managment

-In 

all such infants , effective and thought suctioning,ET intubation and assisted ventilation are mandatory and chest X -ray must be obtained for further managment

Monitoring of blood gases,acid base parameters, electrolyte, glucose,BUN and lactate should be done.

Finally and above all ,the specifics managment for that particular condition should be ensured.

For example-Removal of air from pleural activity in an infant with pneumothorax, insertion of oral airway in choanal attresia, volume expander in shock etc.