SAQ 982 – Newborn resuscitation in the emergency department

A woman unexpectedly delivers at 38 weeks gestation in your emergency department, and you are asked to resuscitate the newborn.

Immediately after cutting the cord, a female infant is placed on the resuscitaire. She is floppy, has no spontaneous movement or respiratory effort, is cyanosed, has HR 50 bpm and there is copious meconium-stained liquor.

Before addressing the airway, what steps will you undertake?

(Marked out of 3.0)

/ 3

Explain why oxygen saturations are measured on the right hand rather than the left hand in a newborn.

(Marked out of 3.0)

/ 3

After head positioning, airway opening and suctioning, the baby still has inadequate respiratory effort. Outline advantages and disadvantages of a T-piece ventilation device compared with a self-inflating bag.

(Marked out of 3.0)

/ 3

List the initial T-piece settings you would use.

(Marked out of 4.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Setting</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Value</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">FiO2</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Rate</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">PEEP</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Positive inspiratory pressure</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 4

Describe how you would identify the umbilical vein for catheter insertion in a newly cut umbilical cord.

(Marked out of 2.0)

/ 2

Total Score: 0 / 15

Percentage: 0%