Delivery room resuscitation of preterm infants in Canada: current practice and views of neonatologists at level III centers

W El-Naggar; P J McNamara

doi:10.1038/jp.2011.128

Back

Delivery room resuscitation of preterm infants in Canada: current practice and views of neonatologists at level III centers

Journal article

Peer reviewed

Delivery room resuscitation of preterm infants in Canada: current practice and views of neonatologists at level III centers

W El-Naggar and P J McNamara

Journal of perinatology, Vol.32(7), pp.491-497

07/2012

DOI: 10.1038/jp.2011.128

PMID: 21941233

View Online

Abstract

To explore physicians' experiences and views related to resuscitation practice of preterm infants at birth, and determine whether the Canadian modifications of 2006 Neonatal Resuscitation Program (NRP) guidelines have been accepted by neonatologists. Neonatologists (n=146) at 25 tertiary neonatal intensive care units (NICUs) across Canada were contacted via email to participate in a web-based survey about their practice regarding resuscitation of preterm infants in the delivery room (DR). In all, 78 respondents (53%) from 23 centres completed the survey. Participants reported significant variability in temperature control measures. Hypothermia, <36.5 °C on NICU admission, was reported by 49% of respondents. Room air is used by 59% of respondents to initiate resuscitation. The majority (91%) of participants use pulse oximetry to titrate oxygen administration. Although more than two thirds (69%) of respondents target an oxygen saturation range of 85 to 92%, 51% of respondents would allow 5 to 10 min for the oxygen saturation to reach the target level. Carbon dioxide detectors are commonly used to confirm endotracheal tube placement (90%). Although respondents (96%) agree on the use of positive end- expiratory pressure (PEEP), when providing positive pressure ventilation (PPV), only 60% would initiate PPV with a pre-set peak inspiratory pressure, mostly 20 cm H(2)O. DR resuscitation practices are highly variable in Canadian NICU's and the currently recommended NRP guidelines are not uniformly followed. Factors leading to variability and discordance in practice should be investigated to facilitate better compliance.

Infant, Very Low Birth Weight

Humans

Oximetry

Neonatology

Data Collection

Practice Patterns, Physicians

Infant, Premature, Diseases - therapy

Respiration, Artificial

Canada

Delivery Rooms

Guideline Adherence

Intensive Care Units, Neonatal

Capnography

Infant, Premature

Hypothermia - therapy

Pulmonary Surfactants - administration & dosage

Infant, Newborn

Resuscitation

Details

Title: Subtitle: Delivery room resuscitation of preterm infants in Canada: current practice and views of neonatologists at level III centers
Creators: W El-Naggar - Department of Pediatrics, Dalhousie University, Halifax, Canada. walid.el-naggar@iwk.nshealth.ca
P J McNamara
Resource Type: Journal article
Publication Details: Journal of perinatology, Vol.32(7), pp.491-497
DOI: 10.1038/jp.2011.128
PMID: 21941233
NLM abbreviation: J Perinatol
ISSN: 0743-8346
eISSN: 1476-5543
Language: English
Date published: 07/2012
Academic Unit: Stead Family Department of Pediatrics; Neonatology; Internal Medicine
Record Identifier: 9984093485402771

Metrics

13 Record Views

22 Times Cited - Web of Science

See more details