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Mục lục
Một phần nhỏ nội dung từ sách
Foundations of Neonatal Resuscitation
What you will learn
Why neonatal resuscitation skills are important
Physiologic changes that occur during and after birth
The format of the Neonatal Resuscitation Program Algorithm
Communication and teamwork skills used by effective resuscitation teams
How implementing quality improvement methods can improve outcomes
Key Points
Most newborns make the transition to extrauterine life without intervention.
f.) Before birth, pulmonary blood vessels in the fetal lungs are tightly constricted, and the alveoli are filled with fluid, not air.
QNewborn resuscitation is usually needed because of respiratory failure.
9 The most important and effective step in neonatal resuscitation is to ventilate the baby’s lungs.
0 Very few newborns will require chest compressions or medication.
O Teamwork, leadership, and communication are critica! to successful resuscitation of the newborn.
The Neonatal Resuscitation Program
The Neonatal Resuscitation Program (NRP”) will help you learn the cognitive, technical, and teamwork skills that you need to resuscitate and stabilize newborns. Most newborns make the transition to extrauterine life without intervention. Within 30 seconds after birth, approximately 85% of term newborns will begin breathing. An additional 10% will begin breathing in response to drying and stimulation. To successfully transition, approximately
• Five percent of term newborns will receive positive-pressure ventilation (PPV).
• Two percent of term newborns will be intubated.
• One to 3 babies per 1,000 births will receive chest compressions or emergency medications.
The likelihood of requiring these lifesaving interventions is higher for babies with certain identified risk factors and those born before full term. Even though the majority of newborns do not require intervention, the large number of births each year means that timely intervention can save many newborn lives. Because the need for assistance cannot always be predicted, health care providers need to be prepared to respond quickly and efficiently at every birth.
During your NRP course, you will learn how to evaluate a newborn, make decisions about what actions to take, and practice the steps involved in resuscitation. As you practice together in simulated cases….
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