The Cribsiders S6 Ep131: New Kids on the Block: Special Care Nursery
Jan 29, 2025
Dr. Colleen Brennan, an academic neonatologist at Washington University, shares her expertise on the critical first hours of a newborn’s life. She discusses recognizing respiratory distress, effective resuscitation techniques, and the challenges of neonatal transitions. Insights into the management of neonatal blood glucose levels are provided, along with the importance of monitoring oxygen after birth. She also reflects on balancing a medical career with motherhood, emphasizing the need for self-kindness in both personal and professional realms.
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Positive Pressure Ventilation Key
- Provide positive pressure ventilation immediately to any newborn who is apneic or has a heart rate less than 100.
- Differentiate between when to use positive pressure ventilation versus CPAP in neonatal resuscitation.
Neonatal Transition Physiology
- After birth, neonates undergo major cardiopulmonary changes including decreased lung resistance and closure of fetal heart shunts.
- About 90% of term babies transition smoothly, but 10% require respiratory support.
Oxygen Saturation Targets
- Use established oxygen saturation goals by minute of life to guide resuscitation.
- Aim for saturations around 70% by three minutes of life and increase gradually to the 90s by 10 minutes.