Nursing experience in neonatal resuscitation complicated by respiratory failure indicates that early use of artificial breathing machines is crucial, such as using nasal catheter oxygen starting at an oxygen flow of 5L/min and then gradually reducing to 1L/min. Every 10-30 minutes, observation and preparation for emergency care should be done, closely monitoring the child’s vital signs, nervous system, and circulatory system changes to identify issues promptly.
To ensure the patency of venous access, skilled technical operation guarantees timely drug application. Antibiotics are given to prevent infection, cerebral edema should be dehydrated promptly, and microcirculation drugs like phentolamine and East ranunculus dang alkali can be used while paying attention to drug side effects.
Maintain a quiet ward environment, minimizing stimulation to children. Daily UV disinfection of the wards twice, paying attention to aseptic techniques to prevent infections.
For children out of suffocation danger, focus on nutrient supply. If sucking force is weak, nasogastric feeding can be initiated. For amniotic fluid or meconium aspiration syndrome, thoroughly wash the stomach with 1% sodium bicarbonate gastric lavage. Feeding 10ml of 10% glucose syrup twice without vomiting ensures no regurgitation post-feeding and slightly elevating the upper body decreases abdominal viscera pressure and increases chest cavity volume, reducing metabolic load.
Observing growth conditions, mental state, limb posture, and muscle tone is essential. Anthropometric work must inform parents for psychological support and close coordination.
In the care of severe neonatal resuscitation, every aspect needs close attention and timely handling of critical situations. Our experience includes:
1. Keeping warmth prevents increased oxygen consumption and metabolic poisoning. Keeping children dry reduces evaporation, convection, radiation, and conductive cooling. In cases of hypoxia and metabolic instability, maintaining warmth and preventing heat loss is crucial. Negligence in exposure to cold can lead to increased metabolic rates and oxygen demand, complicating recovery.
2. Maintaining airway patency is key to successful treatment. Timely oxygenation, CPAP, IPPV therapy, early use of artificial respiration ventilators, and addressing respiratory failure can correct hypoxia and blood gas abnormalities, breaking the cycle of cardiac and cerebral hypoxia, ischemia, reducing multiple organ damage, and lowering mortality and sequelae from severe asphyxia.
3. Neonatal immune dysfunction increases the chance of infection through tracheal intubation and pressurized oxygen rescue. Strict aseptic techniques and antibiotic use are necessary to prevent infection.
4. Neonatal nurses require a high sense of responsibility and skilled rescue technology. Collaborating with physicians to complete neonatal asphyxia rescue missions involves detailed bedside shift handovers ensuring recovery success while continuing education and adopting new technologies to improve diagnosis and rescue levels.
Received bonus: 1996 - B-ultrasound fetal meningeal brain tumor diagnosis, one case adopted by Jun Ye Ling Yuerong.
Keywords: Meningeal swelling; Fetal JL; Ultrasound method; B-ultrasound antenatal diagnosis of brain children meningeal brain tumor.
Report: Pregnant woman, 23 years old, 32 weeks gestation, found fetus' brain swelling via B ultrasound at local hospital and came for further examination. B ultrasound findings (ultrasound 96-52): Right lower quadrant exploration revealed round light in fetal head shot, biparietal diameter 80mm. Observed cystic mass connected to skull in posterior occipital region measuring 70mm x 70mm with clear borders and thin capsule. Partial skull echo defect of 25mm visible, brain midline structures bulging outward through the defect. Slight oscillation probe shows floating dynamics within the cyst. Fetal spine appears parallel to the optical band, no ridge crack observed. Fetal abdominal wall is complete, fetal heart rate 128/min. Left abdominal exploration reveals placenta attached to uterine wall, Class I, summarized amniotic fluid dark area 72mm. Ultrasound diagnosis: Late pregnancy, single transverse position.
Discussion: Fetal meningeal brain tumor is a rare congenital malformation with incidence 1~4:10000. The main characteristic is a cystic mass connected to the skull, partial skull echo defect, and intracranial brain tissue defects leading to extracranial encephalocele. B-ultrasound is the first choice for accurate and non-invasive diagnosis of this disease.
(Closing Abstract Date: 1996-04-22)