Paeds Cases · fetal-neonatal-and-perinatal
Resuscitating a non-vigorous meconium infant — OSCE
OSCE on resuscitating a non-vigorous term infant born through thick meconium-stained liquor, testing the ventilation-first principle, the abandonment of routine suction, and the cooling referral.
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Station brief (8–10 minutes)
A term infant is born through thick meconium-stained liquor. He is limp and apnoeic. You are the registrar leading the resuscitation, with a skilled neonatal nurse present. Demonstrate the first 60 seconds, decide whether to intubate and suction, manage escalation, and plan post-resuscitation stabilisation. State guideline doses and thresholds and name the source. [1] [4]
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- [1]Aziz K Part 5: Neonatal Resuscitation 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Pediatrics, 2021.PMID 33087555
- [4]Perlman JM Part 7: Neonatal Resuscitation: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation, 2015.PMID 26472855
- [9]Azzopardi DV Moderate hypothermia to treat perinatal asphyxial encephalopathy. N Engl J Med, 2009.PMID 19797281
- [10]Niles DE Incidence and characteristics of positive pressure ventilation delivered to newborns in a US tertiary academic hospital. Resuscitation, 2017.PMID 28411062