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Cardiopulmonary Resuscitation Measure: A Case Study

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From the excitement of anticipating a healthy full term baby, to being thrown into a chaotic situation starting from giving birth to an asphyxiated infant requiring aggressive resuscitation in the delivery room, to later processing the possibility of losing the baby or bringing up a developmentally delayed child is the most stressful situation a parent will ever face. Thousands of infants die every year because they cannot establish a stable heart rate due to asphyxia soon after birth. Epinephrine is often used to help these infants stabilize their heart rate because it can be rapidly delivered through the tracheal tube early during resuscitation. However it can cause high blood pressure, rapid heart rate and lead to cardiac dysfunction. Newer vasopressor agents such as vasopressin are approved for use in adults during cardiopulmonary resuscitation (CPR) and have less side-effects compared to epinephrine. Vasopressin is effective when administered by the tracheal route similar …show more content…

Results of this study will have great clinical impact by improving resuscitation guidelines to hasten recovery and reduce death and neurological disability following birth asphyxia. Working under my mentor Dr. Lakshminrusimha, a pioneer in translation research and with our experienced lab personnel at the biomedical research building during this study will help me gain invaluable experience. Surgical techniques, resuscitative measures and serum markers of hypoxic brain injury would be some research methods that I will be focusing on during this time. I anticipate gathering enough preliminary data to be able to present at regional and national pediatric research conferences throughout the next 3 years. Once the sample size is achieved, I aim to analyze and publish this

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The newborn’s Apgar score was significantly low. The Apgar tests for functions such as breathing effort, heart rate, muscle tone, reflexes, and skin color. Cheng, Shaffer, and Caughey (2006, p. 843) explained that babies born in a face up position are “more likely to have a 5-minute Apgar score of 7 or less.” Clearly all of these operations were not up to par for the newborn.

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The functions of the human cardiopulmonary system can be broken down into two, circulatory system and the respiratory system. The main goal of these two systems is to maintain homeostasis in our body. Homeostasis can be described as a type of condition where the internal continuity of an individual has to keep steadiness, regardless of any external changes from the outside environment. External changes from the outside environment may include factors such as excitement, stress, exercise, diet, and much more. Exercise can be carried out because the human body can endure a high level of exercise during a prolonged period of time.

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Monti Jones is a 2-year and 7-month-old male. He was born on 8/31/2012 at 26 weeks gestation weighting 1Ibs. leaving him hospitalized for 3 ½ months due to his premature delivery. Monti's premature birth history significantly impacted his early development where he endured chronic lung disease, was incubated 1-½ months due to a bleed in the cerebellum, received oxygen at home for one month, and experienced developmental delays. After sustaining a traumatic brain injury (TBI) in 2014 from a fall Monti was hospitalized and received rehabilitation for 4 ½ months.

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"Nobody, but nobody, is going to stop breathing on me!" Dr. Virginia Apgar, explaining why she keeps resuscitation equipment with her at all times. It has been commented on from doctors all over the world that all babies born in a hospital after Dr. Apgar, have been looked at first by the eyes of Dr. Apgar. She created the simple but rapid method for assessing newborns. The “Apgar score” which is still in practice day and is used by obstetric teams, the assessment reduces infant mortality and laid the foundations of neonatology.

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Imagine a room that gives life and death. Crying, squirming babies sleep in glowing incubators that have an a plethora of machines attached to it that beep and buzz day and night. A mother reaching into one of these incubators to touch her tiny baby that only weighs two pounds. While in a quiet corner nurses and doctors hovering over a baby in another incubator watching it take quick, tiny breaths. Just another day at the hospital’s neonatal intensive care unit (NICU) for neonatal nurses.

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The anaesthetist removed the ETT and proceeded to place a tight fitted mask on patients face. (REF)She then alerted the team that there was a problem with the patient airway (REF). The mask did not mist up – indicating of no air movement return, there was no carbon dioxide trace on the capnography and the patient oxygen saturation dropped steadily from 100% to 90%. He instigated vigorous jaw thrust to improve oxygenation, and using continuous positive airway pressure(CPAP) to deliver 100% oxygen flow through the breathing bag attached to the anaesthetic machine but all this effort was not having any effect on the ventilation. He then asked my mentor the Operating Department Practitioner (ODP) to administer 50mg/5ml of intravenous Propofol.

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