Monitoring and Precautions for Neonatal Resuscitation

The timing of neonatal resuscitation is especially critical. Within a few seconds after the birth of a newborn, medical staff will quickly make judgments based on the following four indicators.

Ⅰ. When can neonatal resuscitation be done?

1. Is the newborn born full-term?

2. Is the color of amniotic fluid clear?

3. Does the newborn breathe or cry?

4. Does the newborn have good muscle tone?

If the answer to one of the above 4 indicators is no, the initial neonatal resuscitation should be started.

Ⅱ. The neonatal care after resuscitation

1. Medical staff shall closely monitor the possible damage of multiple organ functions:

(1) Pay close attention to the temperature of the child. If there is a drop in body temperature, it can be placed in a baby incubator.

(2) Use instruments to monitor the vital signs of children, such as heart rate and respiration.

(3) Pay attention to prevent complications.

2. Monitoring of some physiological indicators: heart rate, blood pressure, blood sugar, oxygen saturation and so on.

3. Blood gas analysis: It can be performed at the first time after resuscitation of the newborn, which can effectively assess the risk of asphyxia. At the same time, important organs are monitored for early detection and early intervention.

4. Regularly monitor blood sugar: if the blood sugar is low, intravenous infusion of glucose can be given.

5. Mild hypothermia treatment: moderate to severe hypoxic-ischemia can be treated with mild hypothermia.

Ⅲ. Precautions for neonatal resuscitation

1. Body temperature: generally use a neutral temperature incubator. When the newborn's weight is extremely low (<1.5 kg), plastic bags can be used to keep the body temperature.

2. Feeding: Hypoxia-ischemia can cause necrotizing enterocolitis. Monitoring and careful nursing should be strengthened. Feeding can be delayed or minimally.

3. Immature lungs: Such children often lack surfactants in the lungs, causing breathing difficulties. The airway can be used to administer surfactant to the lungs for treatment.

4. Hypertonic drugs: Avoid using hypertonic drugs to prevent intracranial hemorrhage in children.

5. Oxygen for premature infants: In order to avoid the possible damage of oxygen to premature infants, it is not recommended to use pure oxygen. While giving oxygen, it is necessary to closely monitor the oxygen saturation of the blood of the child, so that the oxygen saturation is always maintained between 85 percent and 95 percent.

Pigeon Medical is a professional manufacturer and supplier of respiratory products and oxygen therapy equipment. As a company that supplies medical ventilators and hospital respiratory protection equipment, it has 2 self-owned factories and 1 international trade branch, with a total area of more than 6000 square meters, 10 production lines, and 200 employees. Our main products include air-oxygen mixers, infant CPAP, infant resuscitators, medical air compressors and related disposable consumables or accessories. If you have any needs, please feel free to contact us.