RCP NEONATAL
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Transcript of RCP NEONATAL
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RCP NEONATAL
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© 2000 AAP/AHA© 2000 AAP/AHA© 2000 AAP/AHA© 2000 AAP/AHA
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Preguntas
Libre de meconio?
Respira o llora?
Buen tono muscular?
Rosado?
De término?
REANIMACION NEONATAL
sí CalorVía aérea limpiasecar
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Preguntas
Libre de meconio?
Respira o llora?
Buen tono muscular?
Rosado?
De término?
REANIMACION NEONATAL
NoPasos básicosDe reanimación
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RN con meconio
REANIMACION NEONATAL
Vigoroso? Pasos iniciales
Aspiración directa de traquea
si
No Negativa
Positiva
Si se deteriora, parar aspiración y recuperar, Continuar con pasos iniciales
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REANIMACION NEONATAL
Aspiracion de traquea en RN con meconio no vigoroso
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PASOS BASICOS REANIMACION
Calor
Posición, Aspirar (B-N)
Secar, estimular, retirar campos, reposicionar
Dar oxígeno si es necesario
REANIMACION NEONATAL
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REANIMACION NEONATAL
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REANIMACION NEONATAL
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Evaluar
REANIMACION NEOANTAL
Respiración, FC y color Cunero
PPI 30”con FiO2 100%Cuidados
intermedios
PPI más Compresiones torácicas
Respira
FC >100, Rosa
Apnea o FC <100
Ventila
FC > 100, Rosa
FC <60 FC >60
FC < 60 epinefrina
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REANIMACION NEONATAL
Si no respira o si la FC es menor de 100, iniciar presión positiva intermitente (PPI)
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REANIMACION NEONATAL
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REANIMACION NEONATAL
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REANIMACION NEONATAL
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REANIMACION NEONATAL
Un ciclo lleva 4 eventos Un minuto lleva 90C y 30R
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REANIMACION NEONATALadrenalina Volumen
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REANIMACION NEONATALBicarbonato
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10% de los RN requieren de alguna asistencia
1% requiere de una asistencia vigorosa
Nunca estimular con compresas frías, estimulación rectal, nalgadas.
Todo niño en apnea se considera secundaria por lo que hay que dar ventilación
Se debe dar PPI con reservorio para asegurar FiO2 100% (sin reservorio 40%)
El espesor de meconio no indica aspiración traqueal
Solo se aspira el niño no vigoroso con meconio
REANIMACION NEONATAL
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REANIMACION NEONATAL
No reanimar Menos de 400 gr
Menos de 23 semanas
Trisomias 13, 18
AnencefaliaParar maniobras después de 15 minutos
en asistolia
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Important Points in the Neonatal Resuscitation Flow Diagram
Heart rate < 60 additional steps needed
Heart rate > 60 chest compressions can be stopped
Heart rate > 100 positive-pressure ventilation can be stopped
Asterisk (*) endotracheal intubation may be considered at several steps
Timeline – 30 seconds if no improvement, then proceed to next step
© 2000 AAP/AHA© 2000 AAP/AHA© 2000 AAP/AHA© 2000 AAP/AHA