儿科教学资料（暨南大学）新生儿复苏视频.pptVIP

新生儿复苏视频 初步复苏（A） Opening the Airway Suctioning Meconium Clear Airway: No Meconium Present Suction mouth first, then nose “M” before “N” Dry, Stimulate to Breathe, Reposition Tactile Stimulation Evaluation: Respirations, Heart Rate, Color Decisions and actions during newborn resuscitation are based on Respirations, Heart Rate, and Color Free-Flow Oxygen Given Via Flow-Inflating Bag and Mask Free-Flow Oxygen Given Via Oxygen Tubing Free–Flow Oxygen Given Via Oxygen Mask 正压通气（B） Types of Positive-Pressure Devices Self-inflating bag Flow-inflating bag T-piece resuscitator Safety Features: Self-inflating Bags With Pressure-Release Valve Safety Features: Flow-inflating Bag Safety Features: T-piece Resuscitator Bag and Mask: Equipment Mask should cover Tip of Chin Mouth Nose Positioning Mask on Face Do not jam mask down on face Do not allow fingers or hands to rest on eyes Do not put pressure on throat (trachea) To improve face-mask seal, Use light downward pressure May gently squeeze mandible up toward mask Frequency of Ventilation: 40 to 60 breaths per minute Infant Not Improving and Chest Not Adequately Expanding Possible causes Seal inadequate Airway blocked Not enough pressure Self-inflating Bag: Control of Oxygen An oxygen reservoir must be attached to deliver high concentrations of oxygen using a self-inflating bag Without reservoir and oxygen attached, the bag delivers only about 40% oxygen, which may be insufficient for neonatal resuscitation Self-inflating Bag: Control of Oxygen With reservoir, 90% to 100% oxygen delivered to patient Self-inflating Bag Testing before use Appendix B: Flow-inflating Resuscitation Bags Flow-Inflating Bag: Adjusting Oxygen Flow and Pressure Appendix C: T-piece Resuscitator Preparing the T-piece Resuscitator for Use T-piece Resuscitator: Adjusting Pressure Settings T-piece Resuscitator: Troubleshooting To Improve Face-Mask Seal 胸外心脏按压（C） Chest Compressions: Compre