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Asian Pacific Journal of Nursing

Volume 10, Issue 2, 2023
Mcmed International
Asian Pacific Journal of Nursing
Issn
XXX-XXXX (Print), 2349 – 0683 (Online)
Frequency
bi-annual
Email
editorapjn@mcmed.us
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Abstract
Title
HIGHLIGHTS OF 2015 AHA GUIDELINES ON NEONATAL RESUSCITATION - A REVIEW ARTICLE
Author
Sanjeeta Dara, S.K.Mohanasundari, T. Poovishnu Devi
Email
sanjeetasandeepgrewal@gmail.com
keyword
Chest compression, Communication, Induced therapeutic hypothermia.
Abstract
Readiness for neonatal resuscitation requires assessment of perinatal risk, a system to assemble the appropriate personnel based on that risk, an organized method for ensuring immediate access to supplies and equipment, and standardization of behavioral skills that help assure effective teamwork and communication. AHA guidelines for Neonatal resuscitation (NR) were updated in 2015; all team of NR need to be trained not less than two years interval to keep skilled and updated. The present review focused on highlights of current updates in NR by AHA guidelines mainly focuses on, Order of the assessment: a) Is it term gestation? b) Is it good tone? C) Is the newborn breathing or crying?, The sequence of actions during Golden minute (60 seconds): a) Initial steps, b) reevaluation, c) beginning of ventilation (if required), Time of cord clamping for term and preterm, Temperature management, Intervention for Newborn born with meconium-stained amniotic fluid. Way to assess of accurate heart rate, level of Oxygenation, need of laryngeal mask, Chest compression rate and depth, Epinephrine during CPR and volume administration, Induced therapeutic hypothermia for HIE and ethical decision about Withholding or withdrawing resuscitation. The actions which are not supported by scientific evidence were excluded from the previous practice and current updates and practice were purely based on recent scientific evidences available.
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