Neonatal Intubation Protocol Quiz

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15 Questions

What is the UN10 rule used for in the context of resuscitation?

To predict survival in resuscitation attempts

What did the 2020 guidelines recommend regarding the use of the UN10 rule?

Strongly recommended against using it as the sole strategy for stopping resuscitation

What is the ETCO2 threshold that may be used to inform a multimodal decision to terminate resuscitation in intubated patients?

>10 mmHg

What did the October 2021 guidance recommend regarding the use of personal protective equipment (PPE) in resuscitative attempts for suspected or confirmed COVID-19 cases?

Not delaying chest compressions or defibrillation to don provider PPE

What did the AHA align with in terms of considering all components of resuscitation to be aerosol-generating?

World Health Organization and the Center for Disease Control and Prevention

What did the AHA recommend as a strategy to reduce provider exposure to COVID-19 during resuscitative attempts?

Don appropriate PPE prior to performing any resuscitative attempts

What did the AHA recommend regarding the use of mechanical compression devices if available and personnel are already trained?

Consider using them

What did the AHA recommend for intubated patients at the time of cardiac arrest?

Leave on mechanical ventilation with appropriate adjusted settings with a HEPA filter

What is the recommended approach for intubation in nonvigorous newborns delivered through meconium-stained amniotic fluid?

Laryngoscopy with or without tracheal suctioning

When is endotracheal suctioning indicated for nonvigorous newborns delivered through meconium-stained amniotic fluid?

If airway obstruction is suspected after positive pressure ventilation

What is the preferred vascular access for the delivery of IV medications in newborns?

Umbilical vein

How many individuals capable of performing newborn resuscitation should be present at every birth?

At least 1

When can termination of resuscitation be considered for newborns who have not responded to resuscitation efforts?

After 20 minutes

What is the recommended class and level of evidence for routine laryngoscopy with or without tracheal suctioning in nonvigorous newborns delivered through meconium-stained amniotic fluid?

Class 3, LOE C-LD

What is the recommended approach if meconium is visible in the airway of a nonvigorous newborn?

Laryngoscopy with or without tracheal suctioning

Test your knowledge on the recommended approach to intubation for nonvigorous newborns delivered through meconium-stained amniotic fluid. Assess your understanding of the indications for laryngoscopy, tracheal suctioning, and the presence of a skilled provider during delivery.

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