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Box 2.17 Neonatal Supply Box
ОглавлениеRespiration:Securely fitting oxygen masksInfant suction bulbsMucous trapsCotton tip applicatorsPediatric endotracheal tubes with stylets or smaller gauge IV catheters if intubation required25 gauge needle for GV‐26 acupuncture point [1] a
Resuscitation drugs and reversal agents:EpinephrineNaloxone (if opioid given to dam)
Ligation of umbilical cords:SutureSuture scissorsPovidone iodine solution
Warming devices:Infant incubators (set to 90°F/32°C and 50–60% humidity)Circulating hot water or hot air heating padsRadiant lampsWarm water bottlesSnuggle Safes™Warm surgical towels for tactile stimulation
a Governing vessel 26 (GV 26) is located on the nasal philtrum at the level of the ventral aspect of the nares. Appropriate stimulation of GV‐26 in dogs increases heart rate, stroke volume and cardiac output.
b Neonates can lose heat through evaporation, conduction, radiation and convection. Shivering and vasoconstrictive reflexes are not yet functional. Neonates have well‐developed behavioral heat seeking responses, if heat sources are provided [2].
Figure 2.27 (a) A neonatal supply box. (b) Contents of the box; appropriate items required for neonatal resuscitation.