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Neonatal Resuscitation Program (NRP) Algorithm Overview (8th Edition)

Updated: Oct 15, 2021

In this video, we will be discussing the Neonatal Resuscitation Program (NRP) Algorithm (8th Edition).

Birth asphyxia is associated with both an increase in mortality and morbidity.

By learning the skills of neonatal resuscitation we can make a difference in outcomes

Most newborns make the transition to extrauterine life without intervention. Within 30 seconds after birth, approximately 85% of term newborns will begin breathing, and an additional 10% will start breathing in response to drying and stimulation. To successfully transition, approximately

• 5% of newborns will receive positive-pressure ventilation or PPV

• About 2% will require intubation

• While 1 to 3 per 1,000 births will receive chest compression or medications.

So why do newborns require a different approach to resuscitation than adults?

Most often, adult cardiac arrest is a complication of coronary artery disease. It is caused by a sudden arrhythmia that prevents the heart from effectively circulating blood. As circulation to the brain decreases, the adult victim loses consciousness and stops breathing. At the time of arrest, the adult victim's blood oxygen and carbon dioxide (CO2) content are usually normal, and the lungs remain filled with air. During adult resuscitation, chest compressions maintain circulation until electrical defibrillation or medications restore the heart's function. in contrast, most newborns requiring resuscitation have a healthy heart and when a newborn requires resuscitation, it is usually because of respiratory failure.

Disclaimer: This video is for educational purposes only, and is not intended as medical advice. While we strive for 100% accuracy, errors may occur, and medications or protocols may change over time.



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