Publication: Oxygen for the delivery room respiratory support of moderate-to-late preterm infants. An international survey of clinical practice from 21 countries
Issued Date
2021-12-01
Resource Type
ISSN
16512227
08035253
08035253
Other identifier(s)
2-s2.0-85114677402
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Mahidol University
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SCOPUS
Bibliographic Citation
Acta Paediatrica, International Journal of Paediatrics. Vol.110, No.12 (2021), 3261-3268
Suggested Citation
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 Oxygen for the delivery room respiratory support of moderate-to-late preterm infants. An international survey of clinical practice from 21 countries. Acta Paediatrica, International Journal of Paediatrics. Vol.110, No.12 (2021), 3261-3268. doi:10.1111/apa.16091 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/77531
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Title
Oxygen for the delivery room respiratory support of moderate-to-late preterm infants. An international survey of clinical practice from 21 countries
Other Contributor(s)
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
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
Abstract
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.