Step up in the Neonatal Resuscitation Program (NRP). Updates from NRP 7th edition

Background: At birth, almost 10% of newborn need intervention. The golden minutes to save the brain and vital organs are time-critical. Presentation: qualified person or resuscitation team should attend every delivery. Antepartum communication with the obstetric team gathering knowledge about maturi...

Full description

Bibliographic Details
Main Authors:	Shaban Mohamed, Mossad Abdelhak, Hasan, Taufiq Hidayat, Abu Bakar, Asrar, Anuar, Muhamad Azamin, Raza, Habibalam, Elghuwael, Ismail
Format:	Conference or Workshop Item
Language:	English English English English English
Published:	2019
Subjects:	RJ101 Child Health. Child health services
Online Access:	http://irep.iium.edu.my/76489/ http://irep.iium.edu.my/76489/1/A0%20NRP%20Poster%20%28Final%20Outlined%29.pdf http://irep.iium.edu.my/76489/7/Poster%20Cert-Dr%20Mossad.pdf http://irep.iium.edu.my/76489/25/VER%2023a%20-%20KLINC%202019%20PROGRAMME%207.11.19.pdf http://irep.iium.edu.my/76489/26/klinc%20pict%20-%20Copy.pdf http://irep.iium.edu.my/76489/27/Poster%20Presentation-Dr%20Mossad.pdf

id	iium-76489
recordtype	eprints
spelling	iium-764892020-01-02T07:38:31Z http://irep.iium.edu.my/76489/ Step up in the Neonatal Resuscitation Program (NRP). Updates from NRP 7th edition Shaban Mohamed, Mossad Abdelhak Hasan, Taufiq Hidayat Abu Bakar, Asrar Anuar, Muhamad Azamin Raza, Habibalam Elghuwael, Ismail RJ101 Child Health. Child health services Background: At birth, almost 10% of newborn need intervention. The golden minutes to save the brain and vital organs are time-critical. Presentation: qualified person or resuscitation team should attend every delivery. Antepartum communication with the obstetric team gathering knowledge about maturity, amniotic fluid, number of foetuses, and other risk factors. The assigned team perform briefing, delegate workload, and check equipment. Upon delivery, it is vital to perform a rapid assessment is the baby - term, muscle tone and breathing or crying. Then commencing the initial steps of warming, sniffing position, suction, drying and stimulation. Use plastic wrap for less than 32 weeks. If the baby got abnormal respiration or HR, lung Ventilation and Ventilation Corrective Steps (MRSOPA) is the critical step with early use pulse oximetry and electronic cardiac monitor. Adjust suction pressure from 60-100 and the flowmeter to 10 L/min. Start oxygen with 21%, adjusting preductal saturation within the target zone. Use a resuscitation device capable of providing PEEP and CPAP. Continue PPV 40-60 breaths/minute until spontaneous effort. If heart rate less than 60 spite of effective 30-second ventilation intubate, start chest compression for 60 seconds by two thumbs technique. If still bradycardic, an urgent UVC/IO access and medications with adrenaline, normal saline or 0 negative blood as needed. It is important to consider special situations especially pneumothorax. Conclusion: NRP is evolving according to evidence-based medicine; all institutions should retrieve the latest NRP edition. Key behavioural skills including call for help, will lead to successful resuscitation. 2019-11-20 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/76489/1/A0%20NRP%20Poster%20%28Final%20Outlined%29.pdf application/pdf en http://irep.iium.edu.my/76489/7/Poster%20Cert-Dr%20Mossad.pdf application/pdf en http://irep.iium.edu.my/76489/25/VER%2023a%20-%20KLINC%202019%20PROGRAMME%207.11.19.pdf application/pdf en http://irep.iium.edu.my/76489/26/klinc%20pict%20-%20Copy.pdf application/pdf en http://irep.iium.edu.my/76489/27/Poster%20Presentation-Dr%20Mossad.pdf Shaban Mohamed, Mossad Abdelhak and Hasan, Taufiq Hidayat and Abu Bakar, Asrar and Anuar, Muhamad Azamin and Raza, Habibalam and Elghuwael, Ismail (2019) Step up in the Neonatal Resuscitation Program (NRP). Updates from NRP 7th edition. In: 3rd KL International Neonatology Conference (KLINC) in Conjunction with World Prematurity Day 2019, 20-23 November 2019, Sunway Medical Centre, Selangor, Malaysia. (Unpublished)
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English English English English
topic	RJ101 Child Health. Child health services
spellingShingle	RJ101 Child Health. Child health services Shaban Mohamed, Mossad Abdelhak Hasan, Taufiq Hidayat Abu Bakar, Asrar Anuar, Muhamad Azamin Raza, Habibalam Elghuwael, Ismail Step up in the Neonatal Resuscitation Program (NRP). Updates from NRP 7th edition
description	Background: At birth, almost 10% of newborn need intervention. The golden minutes to save the brain and vital organs are time-critical. Presentation: qualified person or resuscitation team should attend every delivery. Antepartum communication with the obstetric team gathering knowledge about maturity, amniotic fluid, number of foetuses, and other risk factors. The assigned team perform briefing, delegate workload, and check equipment. Upon delivery, it is vital to perform a rapid assessment is the baby - term, muscle tone and breathing or crying. Then commencing the initial steps of warming, sniffing position, suction, drying and stimulation. Use plastic wrap for less than 32 weeks. If the baby got abnormal respiration or HR, lung Ventilation and Ventilation Corrective Steps (MRSOPA) is the critical step with early use pulse oximetry and electronic cardiac monitor. Adjust suction pressure from 60-100 and the flowmeter to 10 L/min. Start oxygen with 21%, adjusting preductal saturation within the target zone. Use a resuscitation device capable of providing PEEP and CPAP. Continue PPV 40-60 breaths/minute until spontaneous effort. If heart rate less than 60 spite of effective 30-second ventilation intubate, start chest compression for 60 seconds by two thumbs technique. If still bradycardic, an urgent UVC/IO access and medications with adrenaline, normal saline or 0 negative blood as needed. It is important to consider special situations especially pneumothorax. Conclusion: NRP is evolving according to evidence-based medicine; all institutions should retrieve the latest NRP edition. Key behavioural skills including call for help, will lead to successful resuscitation.
format	Conference or Workshop Item
author	Shaban Mohamed, Mossad Abdelhak Hasan, Taufiq Hidayat Abu Bakar, Asrar Anuar, Muhamad Azamin Raza, Habibalam Elghuwael, Ismail
author_facet	Shaban Mohamed, Mossad Abdelhak Hasan, Taufiq Hidayat Abu Bakar, Asrar Anuar, Muhamad Azamin Raza, Habibalam Elghuwael, Ismail
author_sort	Shaban Mohamed, Mossad Abdelhak
title	Step up in the Neonatal Resuscitation Program (NRP). Updates from NRP 7th edition
title_short	Step up in the Neonatal Resuscitation Program (NRP). Updates from NRP 7th edition
title_full	Step up in the Neonatal Resuscitation Program (NRP). Updates from NRP 7th edition
title_fullStr	Step up in the Neonatal Resuscitation Program (NRP). Updates from NRP 7th edition
title_full_unstemmed	Step up in the Neonatal Resuscitation Program (NRP). Updates from NRP 7th edition
title_sort	step up in the neonatal resuscitation program (nrp). updates from nrp 7th edition
publishDate	2019
url	http://irep.iium.edu.my/76489/ http://irep.iium.edu.my/76489/1/A0%20NRP%20Poster%20%28Final%20Outlined%29.pdf http://irep.iium.edu.my/76489/7/Poster%20Cert-Dr%20Mossad.pdf http://irep.iium.edu.my/76489/25/VER%2023a%20-%20KLINC%202019%20PROGRAMME%207.11.19.pdf http://irep.iium.edu.my/76489/26/klinc%20pict%20-%20Copy.pdf http://irep.iium.edu.my/76489/27/Poster%20Presentation-Dr%20Mossad.pdf
first_indexed	2023-09-18T21:48:03Z
last_indexed	2023-09-18T21:48:03Z
_version_	1777413582590312448

Step up in the Neonatal Resuscitation Program (NRP). Updates from NRP 7th edition

Similar Items