Слайд 1 ТДМУ幻灯片1 тдму.pptVIP

Indications for trachea intubation Absolute indications: the necessity of meconium suction from the trachea; presence of child diaphragmatic hernia. В?дносн? показання : bag and mask ventilation is ineffective or long-term; necessity of endotracheal entering of medicine; birth of a child with extremely low birth weight (1000 g); Indirect cardiac massageC - circulation Indications Heart rate 60 for 1 minute after 30 seconds of effective ventilation. 2 techniques of indirect cardiac massage are used thumbs method - press the breast by pads of two thumbs, while the rest of the fingers of both hands support the child back (this method is preferred) two fingers method - press the breasts by tips of two fingers of one hand: the second and third or third and fourth, during this second hand supports the child back. This method is used if access to the vessel umbilical cord is needed. C - circulation The frequency of pressing on the chest is 90 per 1 minute. after every three presses on the chest a pause is made for ventilation, then pressing should be repeated. You should press on the chest 3 times for 2 seconds (90 for 1 minute) and do 1 ventilation (30 in 1 minute) - together - 120 action for 1 minute. heart rate increasing indirect heart massage should be stopped, if the heart rate is ≥ 60 beats per minute. After every 30 seconds of indirect massage you should re-evaluate heart rate and breathing to decide what to do next The use of medicine Despite adequate ventilation by 100% oxygen and indirect cardiac massage for 30 seconds, the heart rate remains 60 for 1 minute. Epinephrine. Means that normalize vascular volume - saline. Sodium bicarbonate. Naloxonum. Indications Heart rate 60 for 1 minute after at least 30 seconds of indirect cardiac massage and artificial ventilation by 100% oxygen No cardiac activity of newborn at any moment of resuscitation (necessary ventilation, indirect cardiac massage and injection of epinephrine). Prepare a 0.01% solution