NRP UPDATES

RE-echo from the PSNBM

International Conference
2017
Key principles of successful neonatal
resuscitation
 Effectiveand safe ventilation of the lungs
 Judicious use of oxygen
 Circulatory support
chest compressions
Vasopressors
Volume
NEONATAL RESUSCITATION
PROGRAM
 Developed by the AAP and AHA in1987
with the goal of providing at least one
person trained in neonatal resuscitation
present at each delivery.
 These guidelines apply to
 Newly born infants transistioning from
intrauterine to extrauterine life
 Neonates who require resuscitation during
the first weeks after birth
NRP UPDATE
 Updated every 5 years
 Based on the international liaison
committee on Resuscitation (ILCOR)
statement on consensus on science and
treatment recommendations (COSTR)
Delayed cord clamping for
babies in need of resuscitation

 Thereis insufficient evidence to

recommend an approach to cord
clamping for infants who require
resuscitation at birth
Cord milking
 Limitedinformation regarding the safety
of rapid changes in blood volume for
extremely preterm infants
Importance of
themoregulation
 Admissiontemperature of newly born
nonasphyxiated infants is a strong
predicator of mortality at all gestational
ages
 Increased risk og at least 28% for each 1°
below 36.5°C body temp at admission
 Hypothermia is associated with increased
risk of IVH, RDS, hypoglycemia, and late
onset of sepsis
Thermoregulation 2015
recommendations
 The use of radiant warmers and plastic
wrap with a cap
 Increased room temperature, thermal
mattresses and use of warmed humidified
resuscitation gases