NJOKI , NJOKI , LIMO LIMO NEONATAL RESUSCITATION
Introduction Introduction Neonate-recently born infant < 28 days. Resuscitation – restore consciousness, vigour , assistance to begin breathing , A process of correcting physiological disoders .
EPIDIMEOLOGY EPIDIMEOLOGY • Approximately ; • 90% transit without difficulty, • 10% require assistance to begin breathing • 1% require extensive resuscitative measure Many newborn infants may experience some degree of cardiorespiratory depression, characterized by a heart rate less than 100 beats/min , some degree of hypotension, and hypoventilation and/or apnea during delivery. • HIE (Hypoxic Ischemic Encephalopathy) has a worldwide mortality of 10% to 60% of affected infants, and approximately 25% of survivors have long-term neurodevelopmental delay • Hypoxic ischemic encephalopathy (HIE) usually involves a complex combination of hypoxemia, hypercapnia, and circulatory insufficiency that may be induced by a variety of perinatal events .
Physiology at birth Physiology at birth 1.How a baby receive oxygen at birth 2.What happens at birth to allow baby get oxygen 3.Problems during transition 4.Clinical features of a compromised baby
RISK FACTORS ASSOCIATED RISK FACTORS ASSOCIATED WITH NR. WITH NR. Antepartum Intraparum
Physiologic Changes in Physiologic Changes in neonatal Hypoxia neonatal Hypoxia The initial brief response to hypoxia is one of hypertension and hypercapnia. A period of primary apnea then occurs, followed by gasping in an effort to establish respirations.
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- Winter '16
- Bill Oyieke