Mask CPAP during neonatal transition: too much of a good thing for some term infants?

Poets, Christian F.; Rüdiger, Mario

doi:10.1136/archdischild-2015-308236

Cited by 16 publications

(18 citation statements)

References 6 publications

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“…The JRC Guidelines 2010 and the ILCOR Consensus 2010 introduced CPAP in the delivery room based on the study of preterm infants [12,13,14,15]. Some neonatologists believe that the results of preterm infants could be extrapolated to be applied to term infants [16]. However, our findings suggest otherwise.…”

Section: Discussioncontrasting

confidence: 54%

Respiratory Stabilization after Delivery in Term Infants after the Update of the Japan Resuscitation Council Guidelines in 2010

Hishikawa

Fujinaga²,

Fujiwara³

et al. 2016

Neonatology

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Background: The Japan Resuscitation Council (JRC) updated the guidelines for neonatal cardiopulmonary resuscitation in 2010, which recommended appropriate oxygen supplementation under the assessment of oximetry, with continuous positive airway pressure (CPAP) as a consideration in the delivery room. Whether this update has resulted in an improvement of respiratory stabilization in term neonates has not been well investigated to date. Objectives: The aim of this study is to evaluate the impact of the update of the JRC Guidelines in 2010 on the frequency of respiratory support for term neonates within 24 h of life in the nursery or neonatal intensive care unit (NICU). Methods: We conducted a retrospective, single-center study using data of term neonates born between 2008 and 2009 (defined as ‘group 1', before the update of the guidelines), and between 2011 and 2012 (defined as ‘group 2', after the update of the guidelines). We compared resuscitation procedures in the delivery room and respiratory support in the nursery or NICU within 24 h of life between the two groups. Respiratory support included oxygen therapy, nasal CPAP and mechanical ventilation. Results: A total of 5,036 infants were analyzed. In group 2, oxygen administration in the delivery room was significantly decreased (38.9 vs. 22.1%, p < 0.001) and face mask CPAP in the delivery room increased (1.7 vs. 11.1%, p < 0.001). The prevalence of respiratory support within 24 h of life in the nursery or NICU increased significantly in group 2 (group 1, 6.8% vs. group 2, 16.6%, p < 0.001). Conclusions: The update of the JRC Guidelines in 2010 resulted in an increase of respiratory support for term infants within 24 h of life.

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Section: Discussioncontrasting

confidence: 54%

Respiratory Stabilization after Delivery in Term Infants after the Update of the Japan Resuscitation Council Guidelines in 2010

Hishikawa

Fujinaga²,

Fujiwara³

et al. 2016

Neonatology

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“…11 The association between CPAP and air leak syndrome has been a concern in neonatal literature. 12 In the Continuous Positive Airway Pressure or Intubation at Birth (COIN) trial, increased air leak in DR-CPAP versus DR intubation may have resulted from a higher level of CPAP than in similar studies. 4,13 CPAP is an appropriate DR therapy for most hypoxia or labored breathing in preterm infants that is caused by RDS or retained lung fluid (both associated with decreased lung compliance).…”

Section: Discussionmentioning

confidence: 99%

Delivery Room Continuous Positive Airway Pressure and Pneumothorax

et al. 2019

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Dr Smithhart conceptualized and designed the study, merged the spreadsheets of the 2 databases, and wrote the first draft of the manuscript; Drs Wyckoff, Jaleel, Kapadia, Nelson, and Kakkilaya conceptualized and designed the study; Mr Brown conducted statistical analyses; Dr Brion conceptualized and designed the study and conducted statistical analyses; and all authors participated in the interpretation of the data, critically reviewed the revisions, approved the final manuscript as submitted, and agree to be accountable for all aspects of the work.

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“…CPAP is recommended to stabilise preterm babies 9. The role of PEEP in resuscitating asphyxiated term babies is not well established 33. In a cluster-randomised two-period cross-over trial of newborns over 26 weeks of gestational age receiving PPV, Szyld et al found no difference in achieving heart rate ≥100/min at 2 min for self-inflating bags with or without PEEP valves and T-piece resuscitator with PEEP.…”

Section: Discussionmentioning

confidence: 99%

Neonatal ventilation with a manikin model and two novel PEEP valves without an external gas source

Thallinger

Ersdal

Morley

et al. 2016

Arch Dis Child Fetal Neonatal Ed

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Mask CPAP during neonatal transition: too much of a good thing for some term infants?

Cited by 16 publications

References 6 publications

Respiratory Stabilization after Delivery in Term Infants after the Update of the Japan Resuscitation Council Guidelines in 2010

Respiratory Stabilization after Delivery in Term Infants after the Update of the Japan Resuscitation Council Guidelines in 2010

Delivery Room Continuous Positive Airway Pressure and Pneumothorax

Neonatal ventilation with a manikin model and two novel PEEP valves without an external gas source

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