Obstetric Anesthesia Handbook by Sanjay Datta Bhavani Shankar Kodali & Scott Segal

Author:Sanjay Datta, Bhavani Shankar Kodali & Scott Segal
Language: eng
Format: epub
Publisher: Springer New York, New York, NY

General Principles of Neonatal Resuscitation

Several general principles should guide anesthesiologists’ participation in newborn resuscitation. First, both ASA and ACOG agree that anesthesiologists should be primarily responsible for maternal well-being; hence, when active neonatal resuscitation becomes necessary, a person other than the anesthesiologist should be responsible for this task.5 However, practices in this regard will necessarily vary among institutions due to availability of staff trained in newborn resuscitation. Second, although most infants require little resuscitation, prior knowledge of a difficult delivery or delivery of a high-risk fetus will help predict the large majority of babies who will. Factors that may predict need for more aggressive resuscitation are listed in Table 13-2. Third, proper preparation includes ready availability of equipments, fluids, and medications (Table 13-3). Table 13–2.Factors Associated with Need for Neonatal Resuscitation

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