Browsing by Author "Tinh Thu Nguyen"

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    Oxygen for the delivery room respiratory support of moderate-to-late preterm infants. An international survey of clinical practice from 21 countries
    (2021-12-01) James X. Sotiropoulos; Vishal Kapadia; Maximo Vento; Yacov Rabi; Ola D. Saugstad; R. Kishore Kumar; Georg M. Schmölzer; Huyan Zhang; Yuan Yuan; Gina Lim; Satoshi Kusuda; Takeshi Arimitsu; Tinh Thu Nguyen; Ratchada Kitsommart; Kee Thai Yeo; Ju Lee Oei; Ulsan University Hospital; Siriraj Hospital; University of Medicine and Pharmacy Vietnam; Hospital Universitari i Politècnic La Fe; Keio University School of Medicine; Kyorin University; University of Alberta, Faculty of Medicine and Dentistry; KK Women's And Children's Hospital; UT Southwestern Medical School; Royal Alexandra Hospital, Edmonton; UNSW Medicine; Universitetet i Oslo; Northwestern University; Royal Hospital for Women, Sydney; University of Pennsylvania Perelman School of Medicine; University of Calgary; Cloudnine Hospitals; Guangzhou Women and Children’s Medical Center; Health Research Institute La Fe
    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.