Neonatal Resuscitation Module | NICU Pocket Manual

NEONATAL RESUSCITATION

Gestational Age:
< 32 weeks 32–34 weeks ≥ 35 weeks

Code Medications & Tools

Weight (kg)

ⓘ ETT | UAC Depth: — cm | UVC Depth: — cm

Drug	Dose	Calculated	Administration
Epinephrine IV [0.1 mg/mL]	0.02 mg/kg (0.2 mL/kg)	—	Rapid push, flush with 3 mL NSq3-5 min if HR < 60
Epinephrine^a ETT [0.1 mg/mL]	0.1 mg/kg (1 mL/kg)	—	Rapid push, no flushPPV to distribute into lungs
Ca²⁺ Gluconate IV [100 mg/mL]	100 mg/kg (1 mL/kg)	—	Give over 5-10 minRepeat q10 min if no response
Normal Saline IV [154 mEq/L]	10 mL/kg	—	Give over 5-10 minHigh threshold to repeat bolus
^aETT Epi: May administer while vascular access is established

Code Timers

Weight (kg)	Gestation (weeks)	ETT Depth (gums, cm)	ETT Size^a (mm)
<0.5	<23	5.0-5.5	2.5^b
0.5-0.6	23-24	5.5	2.5^b
0.7-0.8	25-26	6.0	2.5^b
0.9-1.0	27-29	6.5	2.5
1.1-1.4	30-32	7.0	2.5-3.0^c
1.5-1.8	33-34	7.5	3.0
1.9-2.4	35-37	8.0	3.0-3.5^c
2.5-3.1	38-40	8.5	3.5
3.2-4.2	41-43	9.0	3.5^d
^aUse weight, if available, to choose ETT size ^bMay consider 2.0 mm ETT if < 0.9 kg / GA < 27 weeks ^c1.2-2.2 kg: 3.0 mm ETT; > 2.2 kg: 3.5 mm ETT ^dMay consider 4.0 mm ETT if > 4.2 kg / GA > 43 weeks