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Chapter 66 - Neonatal Resuscitation

from Section 7 - Pediatric Anesthesia

Published online by Cambridge University Press:  03 August 2023

By
Cassandra Hoffmann  and
Jessica A. Lovich-Sapola
Edited by
Jessica A. Lovich-Sapola
Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

You are taking care of a 24-year-old female, G1P0, for a cesarean section. Her epidural has been dosed with 20 mL of 2% lidocaine plus 1:200,000 of epinephrine. She had adequate prenatal care and had been laboring without progression for the previous 20 hours. When the baby is delivered, the child makes no sound and no attempts at breathing. The nurses turn to you for help. What will you do? Can you leave the mother to attend to the baby? Who do you have the ultimate responsibility to care for? Assuming you get a colleague to help care for the mother, how would you evaluate and resuscitate the baby?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
 , pp. 282 - 285
Publisher: Cambridge University Press
Print publication year: 2023

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References

Arkoosh, VA. Neonatal resuscitation. Annual Meeting Refresher Course Lectures, ASA Annual Meeting, 2006.Google Scholar
ASA. Standards for basic anesthetic monitoring (approved by ASA House of Delegates October 21, 1986 and last affirmed December 13, 2020 and last amended Ocotber 20, 2010). www.asahq.org.Google Scholar
Aziz, K, Lee, HC, Escobedo, MB, et al. Part 5: Neonatal Resuscitation 2020 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Pediatrics. 2020. doi:10.1542/peds.2020-038505ECrossRefGoogle Scholar
Barash, PG, Cullen, BF, Stoelting, RK. Clinical Anesthesia, 5th ed. Philadelphia: Lippincott Williams & Wilkins, 2006, pp. 1164–7, 1174–5.Google Scholar
Gropper, MA. Miller’s Anesthesia, 9th ed. Philadelphia: Elsevier, 2020, pp. 2524–37.Google Scholar

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