Neonatal Life Support
It is essential all healthcare providers caring for children have the most current knowledge and information about neonatal cardiopulmonary resuscitation. In 2015, the American Heart Association (AHA) published updated guidelines for the Neonatal Resuscitation Program (NRP). These updates are designed to guide the cardiopulmonary resuscitation practices of neonatal patients. The resuscitation of children is much different when compared with adult resuscitation; therefore, it is imperative healthcare providers be competent in the most current resuscitation standards. This module is to provide the user with the didactic knowledge of neonatal life support.
  • Perform an initial assessment of the neonate
  • Determine the three factors of the initial assessment
  • Be able to review the goals of resuscitation
  • Provide initial stabilization of the neonate
  • Be aware of harmful actions when stimulating a neonate
  • Understand the differences in the neonatal airway
  • Be able to position a neonatal airway in the correct position
  • Know when to suction a neonatal airway
  • Know when to suction amniotic fluid from a neonatal airway
  • Know when to suction meconium form a neonatal airway
  • Know when to intubate a neonatal airway that has meconium stained amniotic fluid
  • Understand the neonatal oxygen saturation of various locations of the neonate
  • Know where it is best to place the pulse oximeter on a neonate
  • Have knowledge about the ductus arteriosus
  • Know the appropriate oxygen saturation of the first 10 minutes of a normal neonate
  • Know the concentration of oxygen to give to a neonate
  • Know how to ventilate a neonate
  • Be familiar with various ventilation methods of a neonate
  • Know how to place and fit a mask on a neonate
  • Know how much ventilation pressure to deliver to a neonate
  • Know how to treat a neonate who cannot be ventilated
  • Be familiar with CO2 detectors and capnography
  • Know how much PEEP to use on a neonate
  • Be familiar with an LMA for a neonate
  • Know what size and depth an ETT to use and place in a neonate
  • Be familiar with the anatomy of the vocal cords
  • Know the complications of intubation
  • Know who to insert an orogastric tube and what depth to insert
  • Know about heart rate assessment and how to detect the heart rate
  • Know how to deliver chest compressions including the method, rate, location, and depth
  • Know how to coordinate chest compressions and ventiations
  • Know about the umbilical arteries and vein and establishing access
  • Know about resuscitation drugs, indications, doses for neonatal resuscitation
  • Know about volume administration
  • Know about hypothermia in resuscitation
  • Know about stopping or withholding resuscitation
  • Know about birth physiology
  • know about fetal hypoxia/acidosis risk factors
  • Know about delayed cord clamping
  • Know about temperature management of the neonate


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