ArticleJournal of perinatology : official journal of the California Perinatal Association2012
Delivery room resuscitation of preterm infants in Canada: current practice and views of neonatologists at level III centers.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Interventions to prevent hypothermia at birth in preterm and/or low birth weight infants.The Cochrane database of systematic reviews · 2018Pooled it
- Golden hour management practices for infants <32 weeks gestational age in Canada.Paediatrics & child health · 2018Article
- Impact of a dedicated neonatal stabilization room and process changes on stabilization time.Journal of perinatology : official journal of the California Perinatal Association · 2017Article
- Equipment for neonatal resuscitation in a middle-income country: a national survey in Vietnam.BMC pediatrics · 2016Article
- New architectural design of delivery room reduces morbidity in preterm neonates: a prospective cohort study.BMC pregnancy and childbirth · 2016Article
- Current Neonatal Resuscitation Practices among Paediatricians in Gujarat, India.International journal of pediatrics · 2014Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo 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. STUDY
designNeonatologists (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).
resultIn 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.
conclusionDR 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.
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