Oxygen for the delivery room respiratory support of moderate‐to‐late preterm infants. An international survey of clinical practice from 21 countries
| العنوان: | Oxygen for the delivery room respiratory support of moderate‐to‐late preterm infants. An international survey of clinical practice from 21 countries |
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| المؤلفون: | Vishal S. Kapadia, Yuan Yuan, Georg M. Schmölzer, Tinh Thu Nguyen, R. Kishore Kumar, Ola Didrik Saugstad, Takeshi Arimitsu, Ratchada Kitsommart, Satoshi Kusuda, Yacov Rabi, Ju Lee Oei, Máximo Vento, Kee Thai Yeo, Huyan Zhang, James Xavier Sotiropoulos, Gina Lim |
| المصدر: | Acta Paediatrica. 110:3261-3268 |
| بيانات النشر: | Wiley, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, Resuscitation, Computer-assisted web interviewing, Pregnancy, Surveys and Questionnaires, Heart rate, Late preterm, medicine, Humans, Oximetry, Oxygen saturation (medicine), business.industry, Delivery Rooms, Infant, Newborn, Infant, General Medicine, Respiratory support, Oxygen, Clinical trial, Pediatrics, Perinatology and Child Health, Emergency medicine, Female, business, Infant, Premature, Neonatal resuscitation |
| الوصف: | AIM The aim of this study was to determine clinician opinion regarding oxygen management in moderate-late preterm resuscitation. METHODS An anonymous online questionnaire was distributed through email/social messaging platforms to neonatologists in 21 countries (October 2020-March 2021) via REDCap. RESULTS Of the 695 respondents, 69% had access to oxygen blenders and 90% had pulse oximeters. Respondents from high-income countries were more likely to have oxygen blenders than those from middle-income countries (72% vs. 66%). Most initiated respiratory support with FiO2 0.21 (43%) or 0.3 (36%) but only 45% titrated FiO2 to target SpO2 . Most (89%) considered heart rate as a more important indicator of response than SpO2 . Almost all (96%) supported the need for well-designed trials to examine oxygenation in moderate-late preterm resuscitation. CONCLUSION Most clinicians resuscitated moderate-late preterm infants with lower initial FiO2 but some cannot/will not target SpO2 or titrate FiO2 . Most consider heart rate as a more important indicator of infant response than SpO2 .Large and robust clinical trials examining oxygen use for moderate-late preterm resuscitation, including long-term neurodevelopmental outcomes, are supported amongst clinicians. |
| تدمد: | 1651-2227 0803-5253 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::163a2fc5690375050f9eda65cff5b28fTest https://doi.org/10.1111/apa.16091Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....163a2fc5690375050f9eda65cff5b28f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 16512227 08035253 |
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