Neonatal Resuscitation Algorithm

This algorithm includes a series of steps to assess and respond to the infant's condition immediately after delivery, ensuring prompt and effective resuscitation. The key steps in the NRP Algorithm are:

1. Initial Assessment:
   • Evaluate the newborn's gestational age, muscle tone, and breathing or crying.
   • Provide warmth, clear the airway if necessary, and dry the baby.
2. Airway:
   • Position the baby’s head and clear secretions if needed.
   • Suction the mouth and nose with a bulb syringe or suction catheter if the airway is obstructed.
3. Breathing:
   • If the newborn is apneic or has gasping respirations, initiate positive pressure ventilation (PPV) with a bag and mask.
   • Monitor chest movement to ensure effective ventilation.
4. Circulation:
   • If heart rate remains below 100 beats per minute despite adequate ventilation, continue PPV and consider intubation.
   • If heart rate is below 60 beats per minute, initiate chest compressions in addition to ventilation.
5. Medications:
   • If heart rate remains below 60 beats per minute after 30 seconds of coordinated chest compressions and ventilation, administer epinephrine.
   • Consider volume expansion if there is a history of blood loss or if the newborn appears to be in shock.
6. Post-Resuscitation Care:
   • Once the newborn’s condition stabilizes, transfer to appropriate post-resuscitation care.
   • Monitor for potential complications and provide supportive care as needed.

The NRP Algorithm emphasizes timely and appropriate interventions to support the newborn’s transition to extrauterine life, with the goal of reducing morbidity and mortality associated with birth asphyxia and other neonatal conditions.