see also: [ANZCOR algorithms and flowcharts](https://www.anzcor.org/home/algorithms-and-flowcharts/) , [[APLS]], [[Umbilical vein cannulation]], [[Emergency Delivery#APGAR|APGAR]], [[paediatric airway management]], [Active management of the extremely preterm newborn (22+0 to 24+6 weeks gestation)](x-devonthink-item://9C0B090A-88B8-497B-91CC-C391848A30B5), [[pre-term labour|preterm labour]] # Newborn life support algorithm ![[Pasted image 20230824214125.png]] # Initial neopuff settings - Gas flow at 10L/min - max pressure relief valve 50cm H2O - PIP - 30cm H2O term - 20-25cm H2O <32 weeks - [PEEP](x-devonthink-item://D9DC5866-8F3C-4DDA-9E15-AAB7174F2917?page=10&start=878&length=4&search=PEEP) - 5 cm H2O # Differences from APLS - initial ventilatory support in neonates is with room air and without supplemental O2, using PEEP - chest compressions are commenced if HR is 60 BPM or below; do not wait until no signs of life or unresponsive - warm environment is an important consideration; relative surface area makes bub prone to hypothermia - positive pressure ventilation in neonatal resus requires that the first breaths be slow to overcome collapsed lung due to lack of surfactant - vascular access achieved via umbilical vein catheter