Neonatal Resuscitation_2.ppt - NEONATAL RESUSCITATION NJOKI LIMO Introduction Neonate-recently born infant < 28 days Resuscitation restore consciousness

Neonatal Resuscitation_2.ppt - NEONATAL RESUSCITATION NJOKI...

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NJOKI , NJOKI , LIMO LIMO NEONATAL RESUSCITATION
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Introduction Introduction Neonate-recently born infant < 28 days. Resuscitation – restore consciousness, vigour , assistance to begin breathing , A process of correcting physiological disoders .
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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 .
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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
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RISK FACTORS ASSOCIATED RISK FACTORS ASSOCIATED WITH NR. WITH NR. Antepartum Intraparum
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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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