Newborn Life Support

Physiological basis
of resuscitation
at birth
RC (UK)

NLS Phys 1

Newborn Life Support

What are the differences

in children ?

RC (UK)

NLS Phys 2

Newborn Life Support

Adults have
cardiac arrests
Children have
respiratory arrests
RC (UK)

NLS Phys 3

Newborn Life Support

What are the differences

at birth ?

RC (UK)

NLS Phys 4

Newborn Life Support

At birth
Small
Wet
Lungs full of fluid
RC (UK)

NLS Phys 5

Newborn Life Support

RC (UK)

Photo A2

Newborn Life Support

RC (UK)

NLS Phys 6

Newborn Life Support

Stimuli for the first breath

Cord obstruction
Cold air
Physical discomfort
RC (UK)

NLS Phys 7

Newborn Life Support

First breaths
Push fluid from airway
and alveoli
Establish
resting lung volume
RC (UK)

NLS Phys 8

Newborn Life Support

NLS Phys 9

Resps

Primary
apnoea

Northern Neonatal Network

Terminal
apnoea

Pa O2

160
120

80

40
0
0

10

20

30

40 minutes

NLS Phys 10

Resps

Primary
apnoea

Northern Neonatal Network

Terminal
apnoea

Pa O2

Pa CO2

160

Heart
rate

120

80

40
0
0

10

20

30

40 minutes

NLS Phys 11

Resps

Primary
apnoea

Northern Neonatal Network

Terminal
apnoea

Pa O2

Pa CO2

s ac
s
e
c
Ex

id

160

Heart
rate

120

80

40
0
0

10

20

30

40 minutes

NLS Phys 12

Resps

Primary
apnoea

Northern Neonatal Network

Terminal
apnoea

Pa O2

Pa CO2

s ac
s
e
c
Ex

id

160

Heart
rate

120

80

40

BP

0
0

10

20

30

40 minutes

NLS Phys 13

Resps

Northern Neonatal Network

Pa O2

Pa CO2

cid
a
s
s
Exce

160

Heart
rate

120

80

40

BP

0
0

10

20

30

40 minutes

NLS Phys 14

Resps

Northern Neonatal Network

Pa O2

Pa CO2
aci
s
s
e
Exc

160

Heart
rate

120

80

40

BP

0
0

10

20

30

40 minutes

NLS Phys 15

Resps

Northern Neonatal Network

Pa O2

Pa CO2

cid
a
s
s
Exce

160

Heart
rate

120

80

40

BP

0
0

10

20

30

40 minutes

NLS Phys 16

Resps

Northern Neonatal Network

Pa O2

Pa CO2

cid
a
s
s
Exce

Lung
Inflation

160

Heart
rate

120

80

40

BP

0
0

10

20

30

40 minutes

NLS Phys 17

Resps

Northern Neonatal Network

Pa O2

Pa CO2

s ac
s
e
c
Ex

id

Lung
Inflation
Ventilation

160

Heart
rate

120

80

40

BP

0
0

10

20

30

40 minutes

NLS Phys 18

Resps

Northern Neonatal Network

Pa O2

Pa CO2

s ac
s
e
c
Ex

id

Lung
Inflation
Ventilation

160

Heart
rate

120

80

40

BP

0
0

10

20

30

40 minutes

NLS Phys 19

Resps

Northern Neonatal Network

Pa O2

Pa CO2

s ac
s
e
c
Ex

id

Lung
Inflation

160

Heart
rate

120

80

40

BP

0
0

10

20

30

40 minutes

NLS Phys 20

Resps

Northern Neonatal Network

Pa O2

Pa CO2

s ac
s
e
c
Ex

id

Lung
Inflation

Ventilation

160

Heart
rate

120

CC

80

40

BP

0
0

10

20

30

40 minutes

NLS Phys 21

Resps

Northern Neonatal Network

Pa O2

Pa CO2

s ac
s
e
c
Ex

id

Lung
Inflation

Ventilation

160

Heart
rate

120

CC

80

40

BP

0
0

10

20

30

40 minutes

NLS Phys 22

Resps

Primary
apnoea

Northern Neonatal Network

Terminal
apnoea

Pa O2

Pa CO2

s ac
s
e
c
Ex

id

Lung
Inflation

Ventilation

160

Heart
rate

120

CC

80

40

BP

0
0

10

20

30

40 minutes

NLS Phys 23

Newborn Life Support

Understanding the
physiology is vital
Any questions?

RC (UK)

NLS Phys 24

Resps

Primary
apnoea

Northern Neonatal Network

Terminal
apnoea

Pa O2

Pa CO2

s ac
s
e
c
Ex

id

Lung
Inflation

Ventilation

160

Heart
rate

120

CC

80

40

BP

0
0

10

20

30

40 minutes

NLS Phys 25