Puff Puff PPV
This remains the single most important intervention in neonatal resuscitation.
What is effective positive pressure ventilation (PPV)?
Pulse oximetry targets begin at this minute of life.
What is 2 minutes?
This supraglottic device can now be used as a primary ventilation interface.
What is a laryngeal mask airway (LMA)?
This new item was added to the beginning of the NRP algorithm.
What is Birth and Initiate Cord Management Plan?
This is the primary indicator that ventilation is working.
What is an increasing heart rate?
The recommended ventilation rate in the 9th Edition.
What is 30-60 breaths per minute?
Target SpO₂ at 5 minutes.
What is 80%-85%?
This technology is recommended for intubation when expertise is available.
What is video laryngoscopy?
This routine delivery room action was removed from the initial stabilization sequence.
What is routine suctioning?
Recommended starting PIP for infants under 32 weeks according to CPS guidance.
What is 20 cm H₂O?
If there is no chest movement and the heart rate is not increasing, corrective steps should begin after this long.
What is 15-30 seconds?
Recommended initial oxygen concentration for infants under 32 weeks gestation.
What is 30% oxygen?
Endotracheal tube depth is now measured from this structure.
What is the upper (maxillary) gum?
Healthy newborns should have cord clamping delayed at least this long.
What is 60 seconds?
Recommended starting PIP for infants 32 weeks and greater.
What is 25 cm H₂O?
This acronym guides corrective steps when ventilation is ineffective.
What is MRSOPA?
For infants greater or equal to 32 weeks gestation, the recommended starting oxygen range is this.
What is 21%?
Recommended ETT size for infants over 2200 grams.
What is a 3.5 endotracheal tube?
For non-vigorous newborns, this should never be delayed because of cord management.
What is assisted ventilation?
This complication is associated with cord milking in infants under 28 weeks.
What is intraventricular hemorrhage (IVH)?
Before considering chest compressions, this intervention must be optimized.
What is effective ventilation?
Target oxygen saturation at 10 minutes.
What is 85%-95%?
An LMA should be considered before escalating PIP in infants above this gestational age.
What is greater than 34 weeks gestation?
During delayed cord clamping, RTs may be asked to provide this while the cord remains intact.
What is resuscitation/support at the bedside with the cord intact?
If chest movement is absent despite PPV, this should be assessed before simply increasing pressures.
What is airway position, mask seal, and ventilation effectiveness (MRSOPA assessment)?