학술논문
A Survey of the Union of European Neonatal and Perinatal Societies on Neonatal Respiratory Care in Neonatal Intensive Care Units
Document Type
Survey
Author
Moretti, Corrado; Gizzi, Camilla; Gagliardi, Luigi; Petrillo, Flavia; Ventura, Maria Luisa; Trevisanuto, Daniele; Lista, Gianluca; Dellacà, Raffaele L.; Beke, Artur; Buonocore, Giuseppe; Charitou, Antonia; Cucerea, Manuela; Filipović-Grčić, Boris; Jeckova, Nelly Georgieva; Koç, Esin; Saldanha, Joana; Sanchez-Luna, Manuel; Stoniene, Dalia; Varendi, Heili; Vertecchi, Giulia; Mosca, Fabio
Source
Children. January, 2024, Vol. 11 Issue 2
Subject
Language
English
ISSN
2227-9067
Abstract
(1) Background: Our survey aimed to gather information on respiratory care in Neonatal Intensive Care Units (NICUs) in the European and Mediterranean region. (2) Methods: Cross-sectional electronic survey. An 89-item questionnaire focusing on the current modes, devices, and strategies employed in neonatal units in the domain of respiratory care was sent to directors/heads of 528 NICUs. The adherence to the “European consensus guidelines on the management of respiratory distress syndrome” was assessed for comparison. (3) Results: The response rate was 75% (397/528 units). In most Delivery Rooms (DRs), full resuscitation is given from 22 to 23 weeks gestational age. A T-piece device with facial masks or short binasal prongs are commonly used for respiratory stabilization. Initial FiO[sub.2] is set as per guidelines. Most units use heated humidified gases to prevent heat loss. SpO[sub.2] and ECG monitoring are largely performed. Surfactant in the DR is preferentially given through Intubation-Surfactant-Extubation (INSURE) or Less-Invasive-Surfactant-Administration (LISA) techniques. DR caffeine is widespread. In the NICUs, most of the non-invasive modes used are nasal CPAP and nasal intermittent positive-pressure ventilation. Volume-targeted, synchronized intermittent positive-pressure ventilation is the preferred invasive mode to treat acute respiratory distress. Pulmonary recruitment maneuvers are common approaches. During NICU stay, surfactant administration is primarily guided by FiO[sub.2] and SpO[sub.2]/FiO[sub.2] ratio, and it is mostly performed through LISA or INSURE. Steroids are used to facilitate extubation and prevent bronchopulmonary dysplasia. (4) Conclusions: Overall, clinical practices are in line with the 2022 European Guidelines, but there are some divergences. These data will allow stakeholders to make comparisons and to identify opportunities for improvement.
Author(s): Corrado Moretti (corresponding author) [1,2,*]; Camilla Gizzi [2,3]; Luigi Gagliardi [4]; Flavia Petrillo [5]; Maria Luisa Ventura [6]; Daniele Trevisanuto [7]; Gianluca Lista [2,8]; Raffaele L. Dellacà [9]; Artur [...]
Author(s): Corrado Moretti (corresponding author) [1,2,*]; Camilla Gizzi [2,3]; Luigi Gagliardi [4]; Flavia Petrillo [5]; Maria Luisa Ventura [6]; Daniele Trevisanuto [7]; Gianluca Lista [2,8]; Raffaele L. Dellacà [9]; Artur [...]