Neonatal Life Support

Octubre - 2020



0.- Generalidades y Algoritmo

I.- Anticipation and Preparation

             1.- Prediction of need of respiratory support in the delivery room

             2.- Effect of briefing/debriefing following neonatal resuscitation

II.- Initial Assessment and Intervention

             1.- Warming adjuncts

             2.-Suctioning of clear fluid

             3.-Tracheal intubation and suction of nonvigorous meconium-stained newborns

III.- Physiological Monitoring and Feedback Devices

             1.- Heart rate monitoring during neonatal resuscitation

IV.- Ventilation and Oxygenation

             1.- Sustained inflation

             2.- Positive end-expiratory pressure (PEEP) versus no PEEP

             3.- Continuous positive airway pressure (CPAP) versus intermittent PPV

             4.- T-piece resuscitator versus self-inflating bag for ventilation

             5.- Oxygen for preterm resuscitation

             6.- Oxygen for term resuscitation

V.- Circulatory Support

             1.- CPR ratios for neonatal resuscitation

             2.- 2-thumb versus 2-finger compressions for neonatal resuscitation

VI.- Drug and Fluid Administration

             1.- Epinephrine (adrenaline) for neonatal resuscitation

             2.- Intraosseous versus umbilical vein for emergency access

             3.- Volume infusion during neonatal resuscitation

             4.-Sodium bicarbonate during neonatal resuscitation

VII.- Prognostication During CPR

             1.- Impact of duration of intensive resuscitation

VIII.- Postresuscitation Care

             1.- Rewarming of hypothermic newborns

             2.- Induced hypothermia in settings with limited resources

             3. Postresuscitation glucose management

IX.- Principales cambios realizados en Soporte Vital Neonatal 2020

Algoritmos AHA 2020  Adultos y Pediatría

Highlights 2020 - AHA en español

Actualizaciones AHA 2020