What is Mr SOPA in neonatal resuscitation?

In the setting of inadequate ventilation, the most recent NRP guidelines devised the MR SOPA acronym (Figure 1) to remind resuscitators to initiate ventilation corrective steps: M (mask adjustment), R (reposition airway), S (suction mouth and nose), O (open mouth), P (pressure increase), A (alternate airway) [5].

What are the 4 pre birth Questions?

7th edition NRP recommends 4 pre-birth questions are asked: gestational age, number of babies anticipated, the colour of amniotic fluid and presence of additional risk factors.

What is the most important indicator of successful PPV?

The most important indicator of successful PPV is a rising heart rate. If the heart rate does not increase, PPV that inflates the lungs is evidenced by chest movement with ventilation.

How many chest compressions does a newborn need?

Push down 4cm (for a baby or infant) or 5cm (a child), which is approximately one-third of the chest diameter. Release the pressure, then rapidly repeat at a rate of about 100-120 compressions a minute. After 30 compressions, tilt the head, lift the chin, and give 2 effective breaths.

What is the first step in neonatal resuscitation?

Initial Steps. The initial steps of resuscitation are to provide warmth by placing the baby under a radiant heat source, positioning the head in a “sniffing” position to open the airway, clearing the airway if necessary with a bulb syringe or suction catheter, drying the baby, and stimulating breathing.

What is newborn PPV?

When babies needs help breathing, medical professionals often turn to positive pressure ventilation (PPV). PPV provides newborns with air via a mask, inflating bag, or T-piece resuscitator (which includes an airflow control valve).

Which device Cannot deliver free flow oxygen?

2 The NRP says that “free‐flow oxygen cannot be given reliably by a mask attached to a self‐inflating bag”.

How do I make my baby spontaneous breathing?

Drying and suctioning produce enough stimulation to initiate effective respirations in most newly born infants. If an infant fails to establish spontaneous and effective respirations after drying with a towel or gentle rubbing of the back, flicking the soles of the feet may initiate spontaneous respirations.


A non-invasive approach is now recommended that uses either continuous positive airway pressure (CPAP) and/or positive pressure ventilation (PPV), combined with ambient or a blended air/oxygen gas mixture (9–11).

How many compressions does a newborn need?

What does Mr SOPA stand for in NRP?

Remembering that most neonatal compromise is due to ventilation difficulties, you remember to use MR. SOPA. M stands for mask readjustment, R is for repositioning the airway, S is suctioning the mouth, then nose, O is opening the mouth and P is pressure increase. SOPA: A which stands for alternative airways.

How does Mr SOPA work at Royal Alexandra Hospital?

Health care provider randomized to the “MR SOPA” group will receive MR SOPA training provided by a qualified educator on every shift. This training will be five minutes long and will consist of each MR SOPA step. These corrective steps will be demonstrated and practiced on a low-fidelity neonatal mannequin in the DR of the Royal Alexandra Hospital.

How to improve PPV by mask with mrsopa?

Technique for improving PPV by mask is performed by a series of corrective steps, identified by the acronym “MR SOPA”, to recall ventilation corrective steps. The steps should be followed with this order: “M Mask adjustment, R Reposition airway, S Suction mouth and nose, O Open mouth, P Pressure increase, A Airway alternative”.