CARDIOPULMONARY RESUSCTTATION IN THE NEWBORN

Abstract

Cardiopulmonary arrest is defined as the cessation of functional ventilation and circulation. The pathophysiologic dynamics that precede this terminal state may be initial respiratory failure and arrest with subsequent cardiac decompensation or primary cardiac arrest.

The most common causes that lead to an arrest in the newborn are :

-Hypoxia (regardless to its cause).

-Secretions_ in airway.

-Prematurely: apnea and immature lung function.

- Hypothermia below 36 C.

- Compression of the cord during birth.

- Large blood loss.

-Difficult labour with stress to the baby.

- Cardiopulmonary resuscitation includes those measures_. used to restore functional ventilation and circulation and correct associated metabolic disturbances. It consists of those measures• airectedtowards• estaE1isl].ing and maintai.IJ.ingana!r way controlling breathing and ensuring adequate circulation. These measures- 'are-• .]<flown as the (ABCS)of cara.iopulmonary resuscitation:

"A" Airway : A clear patent airway should be secured whether the normal anatomic airway or an artificial airwpy. •