Towel/blankets to dry and remove
Temp sensor for prolonged resuscitation
Plastic bags/wrap if <32w
Thermal mattress if <32w
O2 set to 10L/min
If available, Oxygen blender set to 21%
T-piece resuscitator (for free-flow, CPAP and PPV)
Term/pre-term size mask, and self-inflating bag
Suction bulb syringe
10-12F suction catheter attached to wall 80-100mmHg suction
Alternative Airway Equipment
LMA size 1 and 5mL syringe
Miller 0 preterm
Miller 1 term
3mm for 28-34w
Depth of insertion
Gestation-based guidelines or use of the nasal-tragus length method
SpO2 - Pulse Oximeter
Umbilical line kit
3x Chlorhexidine swabs
Pick-up forceps (without teeth)
Sterile tie tape
3-way stop cock
Syringes (1mL, 3mL)
5Fr Umbilical catheter (Can use Size 5 feeding tube as alternative)
Epinephrine [0.1mg/mL] (at 0.1mg/kg ETT) or diluted to get 0.01mg/kg UV/IV/IO
10mL NS Flush and 18G needle to dilute in 10
10mL NS Flush (to flush 2mL after Epi UV/IV/IO)
For vigorous term and preterm infants, delayed cord clamping for 30 to 60 s is recommended
When meconium is present and the newborn is hypotonic with ineffective respirations, ‘routine intubation for tracheal suction is not suggested’.
Initial resuscitation and administration of PPV should be undertaken, as required.
Meconium remains a risk factor for abnormal transition and a team with advanced resuscitation skills should be present
For the term infant, resuscitation should start with 21% oxygen.
For preterm infants <35 weeks’ gestational age, recommended initial gas is 21%–30% oxygen
After 15 s of PPV, assessment of HR should take place.
If HR is not increasing, chest rise should be evaluated. If the chest is moving, a further 15 s of PPV should be administered before reassessment of HR.
If the chest is not moving, corrective steps (MR.SOPA) should be initiated. HR should be reassessed after 30 s of ventilation that moves the chest