The operation of a neonatal resuscitation table is intrinsically linked to its main objective, which is not only to reduce the percentage of premature neonatal deaths, but also to avoid neurological consequences due to asphyxiation at the time of birth, this table is not exclusive use of the intensive care area, but has a wide application in maneuvers during high-risk deliveries.  

The structure of this electromedical equipment with wheel design is divided into three well defined parts, first are the incandescent lamps, diffusers and the heat source; followed by the control unit, where the manual heater and servo controlled control and alarms are installed; Finally, there is the platform, where you can see the Rx chassis holder, the mattress, and the option to extend the functions as a patient monitor, among other materials that the physician requires at the time of neonatal resuscitation.

Steps to follow to evaluate and resuscitate a Neonatal

• Initial evaluation: it is the first encounter with the newborn and the possibility that he/she remains with his/her mother or should be taken to a neonatal resuscitation table will be studied. 
• Airways (V): followed by the birth of apply immediate care performing a cleansing of the airways and support the baby’s spontaneous breathing. 
• Breathing (R): in the case of neonates with apnea or bradycardia, pressure ventilation is required; it is also necessary when the newborn breathes with difficulty or is presenting low oxygen saturation to apply continuous positive pressure in the airways or oxygen.
• Circulation (C): in the case of persistent bradycardia despite assisted ventilation, circulation should be administered by thoracic compressions coordinated with PPV.
• Drug (F): if the above does not work the next step is to administer adrenaline drug while continuing PPV and chest compressions. 

Functions of the Neonatal Resuscitation Table

This equipment is a kind of incubator aimed to offer the newborn a comfortable thermal place that helps maintain a body temperature of 36 to 37 degrees, has characteristics not only of a thermal incubator, but also controls the humidity, oxygenation, temperature of the place and skin of the baby.

It is used in premature babies or babies with intrapartum, low weight conditions with problems of thermal homeostasis or thermoregulation, which do not allow them to maintain a thermal balance. It is widely used as it is also used in patients who have been exposed to very low temperatures for a long time.

General aspects of a neonatal resuscitation table

• It works similarly to a radiant cradle, its structure is fast access to the newborn, direct observation, provides continuous heat to the baby.
• The cradle is covered with detachable, folding and transparent panels and a panel of 3 cable grommets. 
• It has a base with wheels, of which two have braking system. It also includes a lamp for night light and one with white LED light for examination, among other components.

Performance recommendations of the neonatal resuscitation table

• Do not tamper with the equipment while it is running due to heating of the top where the infrared generator is located, as it can cause injury.
• Avoid contact with flammable anesthetics due to risk of explosion. 
• Verify that the equipment is connected to a 110 Volt line-to-ground current, to ensure the safety of the newborn and medical personnel.
• To achieve the right temperature it is necessary for the equipment to be turned on 10 minutes before delivery.
• The neonatal resuscitation table is a team designed to work constantly. 
• The selected temperature and the time taken to reach it may vary depending on the temperature of the environment.

Operation of the neonatal resuscitation table

• Turn on the red switch equipment located on the left side of the panel.
• Verify that the temperature sensor is connected and over the work area, or adjusted to the neonate.
• The equipment works at maximum power for approximately 10 minutes to reach the temperature programmed quickly, after this time begins to operate the power control while maintaining is controlled.
• In order to monitor the temperature of the newborn, the sensor must be placed in contact with the skin, preferably in the lower limbs. 
• Velcro is recommended to avoid skin lesions in the newborn.
• In order to detect the temperature of the working area, the sensor area must be kept uncovered.

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