1. Neonatal Resuscitation Program Slide Presentation Kit
dr behzad barekatain, assistant professor of pediatrics,neonatalogist
Neonatal Resuscitation Program Slide Presentation Kit

2. Neonatal Resuscitation Program Slide Presentation Kit
Lesson 9:
RESUSCITATION Of PRETERM NEWBORN
Neonatal Resuscitation Program Slide Presentation Kit

4. Why do babies born preterm have a higher risk of complication?
Skin
Chest muscle
Immature lung
Immature tissue
Immature immune system
Smaller blood volume
Immature blood vessels
Limited metabolic reserve

5. What additional resources do you need for resuscitating a preterm newborn?
Polyethylene bag(<32 w)
thermal mattresses
Servo-control radiant warmer
Oxygen blender & oximeter
ECG monitoring
Device capable of providing PEEP

6. What additional resources do you need for resuscitating a preterm newborn?
Appropriated sized ET tube(2/5 , 3 mm)
Mask with app size
Blade (size 0 .optional 00)
Surfactant
Pre-warmed incubator

7. How do you keep the preterm newborn warm?
Increase the room-temp ^ C
Preheated radiant warmer
Hat
Pre-warmed transport incubator
For baby < 32 w:
thermal mattresses
wrap in polyethylene plastic bag

9. How do you assist ventilation?
If breathing spontaneously
If PPV required:
use lowest PIP
use a device that can produce PEEP
consider administering surfactant

10. How much oxygen should be used?
21-30 % for less than 35W
The oxygen saturation target range is same to term infant

11. What can you do to decrease the chances of neurologic injury in preterm newborn?
Handle the baby gently
Do not position the baby legs higher than the head(Trendelenburg position)
Avoid delivering excessive pressure during PPV and CPAP
Do not rapidly infuse IV fluids

12. What special precautions should be taken after the initial stabilization period?
Monitor the baby’s temperature
Monitor blood glucose
Monitor Apnea & bradycardia