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Care of the Newborn

  • Morgen Bernius
  • Fernando Mena
Chapter
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Abstract

The resuscitation of a distressed newborn is a specialty in itself, and most emergency physicians have limited experience in this field. This chapter reviews the critical points in the resuscitation of both term and preterm infants and provides a readily accessible guide to enable the emergency physician to provide delivery room and neonatal intensive care unit levels of care in the emergency department. We review the basic physiology of neonatal circulation as it transitions during birth and the complications that can occur with that process. We provide an extensive review of the neonatal resuscitation algorithm, and a guide for post-resuscitative care and definitive treatment. Additionally, there is a comprehensive description of the various procedures required during neonatal resuscitation from chest compressions to umbilical line placement.

Keywords

Neonatal resuscitation Premature Newborn Meconium Preductal saturation Blended oxygen 

Abbreviations

ACLS

Advanced Cardiac Life Support

AHA

American Heart Association

CHD

Congenital Heart Disease

CPAP

Continuous Positive Airway Pressure

ECMO

Extracorporeal Membrane Oxygenation

ED

Emergency Department

ELBW

Extremely Low Birth Weight

ETCO2

End-tidal Carbon Dioxide

ETI

Endotracheal Intubation

ETT

Endotracheal Tube

HIE

Hypoxic Ischemic Encephalopathy

IO

Intraosseous

IVC

Inferior Vena Cava

LBW

Low Birth Weight

LMA

Laryngeal Mask Airway

MAS

Meconium Aspiration Syndrome

MSAF

Meconium Stained Amniotic Fluid

NICU

Neonatal Intensive Care Unit

NRP

Neonatal Resuscitation Program

PALS

Pediatric Advanced Life Support

PaO2

Partial Pressure of Oxygen

PEEP

Positive End Expiratory Pressure

PIP

Positive Inspiratory Pressure

Pox

Pulse Oximetry

PPHN

Persistent Pulmonary Hypertension of the Newborn

PPV

Positive Pressure Ventilation

UV

Umbilical Vein

VLBW

Very Low Birth Weight

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Morgen Bernius
    • 1
  • Fernando Mena
    • 2
  1. 1.Department of Emergency MedicineMedstar Franklin Square Medical CenterBaltimoreUSA
  2. 2.Department of PediatricsMedStar Franklin Square Medical CenterBaltimoreUSA

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