Measures on revitalization of the children born in the state of asphyxia

1. Suction mucus from the respiratory tract (trachea and bronchi) of newborns, as well as the implementation of artificial respiration, produced with the help of special equipment. In the absence of manual breathing apparatus these tasks are performed using the tracheal catheter; the latter is entered into the respiratory tract on the finger that udivliaet the root of the tongue forward, to make it easier to hold the catheter into the larynx. The outer end of the catheter is connected to a cylinder or a glass bulb, which is also connected with a rubber tube through which the doctor makes suction mucus mouth. Mucus from the mouth and pharynx newborn carefully selected gauze topframe. Mucus from the nose is removed cotton "kusarigama" (flagella).
2. Simultaneously with the removal of mucus valid repeated rhythmic stretching language. For that language capture using gauze Topfer fingers and several times pull out (up to 20 times per minute).
3. The purpose of stimulation of the respiratory centre used injection, subcutaneously to 1% solution lobelina or 0.15% solution tsititona on 0,3-0,4 ml
4. If these funds rapid effect is not given, then proceed as mentioned above, to artificial respiration with the help of a special apparatus or use manual technique (method Sokolova or Sylvester).
Describes how Sokolova: a child is placed on the table with head hanging over the edge of the latter. The head is supported by the physician's hand and the other hand captured both legs of the fetus. At the same time bending her head to his chest and legs gently pressed to his stomach, the doctor called the act of exhalation. Then, moving the head back and at the same time straightening legs, the doctor contributes to act breath. Such movements are calm and rhythmically, 10-20 times in minutes
5. When the child is born in a state of white asphyxia should immediately switch to artificial respiration, while warming of the child. Contrasting temperature effects, as well as slapping his hand over his buttocks, should not be used.
6. When bad action of the heart, weak colours, significant slowing of the heart rate are injections of 0.5 ml of 10% solution of caffeine or cordiamine in the amount of 1 ml subcutaneously and other means, as mentioned above.
When the first breath prescribe oxygen inhalation every 5-10 min for 2-3 minutes
Revival is needed, while listening to the heartbeat of the fetus. Child born in the state of asphyxia, one should not quickly separate from the mother, in other words one should not rush with ligation and umbilical cord transection.
7. Infants who are able asphyxia, should be protected from cooling. The room in which there is a toilet child, to be regularly irradiated quartz lamp. The temperature of air in it should not be below 24 degrees. The table, on which is placed the newborn should be heated in a special light bulbs. In the absence of special devices recommended changing table to warm-water, covered Bykovym blanket. Diapers should be also warm.
8. At the slightest suspicion on a brain hemorrhage prohibit all recovery-related movement of the fetus (artificial respiration, lowering the fruit upside down, contrast baths, etc). Due to the difficulties in the diagnosis of cases of haemorrhage should carefully to produce a revival of the unborn child and especially premature infants.
9. About the presence of a brain hemorrhage can be judged on a number of grounds:
a) the fruit born with clear, rhythmical, albeit slow heartbeat, don't start breathing immediately after the release of the respiratory tract of mucus, of course, in the absence of pathological changes in the lungs of the fetus, as well as some malformations incompatible with the act of respiration;
b) in the localization hemorrhage over cerebellar snaring sharply expressed or changing the voltage springs or seams of skull fruit;
b) sometimes there is a pale face, against which separate cyanotic stations, usually located around the mouth; in rare cases, when a brain haemorrhage can be observed very strong cyanotic color half of the skull and face;
g) in some cases, when there is bleeding in the brain and asphyxia pupils have different value, and often changed their form;
d) about the presence of a brain hemorrhage sometimes show spasms of the muscles of the body, and limbs.