Abstract
Please read the following vignette and watch the video clip. A 40-1/7 week gestation infant is delivered through clear amniotic fluid after an uncomplicated pregnancy. Immediately after birth the infant is non-vigorous. The infant is warmed, dried, stimulated, and the airway is opened. At 30 seconds after birth, the heart rate is 80 beats/min and positive pressure ventilation (PPV) is started at a rate of 60 breaths/min. The heart rate does not increase after 15 seconds of positive pressure ventilation. What is the correct intervention? 1. Continue PPV, no other intervention needed 2. Begin chest compressions 3. Reposition the head and reapply the mask, continue PPV 4. Intubate the trachea with endotracheal tube 5. Continue PPV, increase to FiO2 0.40 Now, stop reading and watch the video. Ventilation is the most important intervention in neonatal resuscitation; a rise in heart rate is …
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