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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6568294/
Dec 25, 2018 · CPAP: In all preterm babies with respiratory distress symptoms after delivery, but whose spontaneous respiration is sufficient, nasal CPAP should be applied in the delivery room. It is appropriate to initiate CPAP in the delivery room in all preterm babies with a gestational age of <32 weeks and a birth weight of <1500 g even though respiratory distress is absent.Author: Nihal Oygür, E. Esra Önal, Aysegül Zenciroğlu
https://jamanetwork.com/journals/jama/fullarticle/2728900
Mar 26, 2019 · Delivery Room Resuscitation of Extremely Preterm Infants. Most newborns successfully transition at birth, with the onset of spontaneous respiration occurring within the first 10 to 30 seconds. Failure to establish respirations occurs in approximately 5% to 6% of all infants, with this percentage increasing with declining gestational age.Author: Jeffrey Perlman
https://pediatrics.aappublications.org/content/143/2/e20180201
Feb 01, 2019 · Avoiding delivery room intubation (DRI) and stabilization of preterm infants on continuous positive airway pressure (CPAP) reduces death and bronchopulmonary dysplasia (BPD). 1 – 3 The Neonatal Resuscitation Program (NRP) suggests that spontaneously breathing preterm infants with respiratory distress may be supported with CPAP. 4 However, the majority of extremely low …Author: Venkatakrishna Kakkilaya, Ihab Jubran, Vaishali Mashruwala, Emma Ramon, Valerie N. Simcik, Marjory M...
https://www.researchgate.net/publication/335239129_Delivery_room_interventions_to_prevent_bronchopulmonary_dysplasia_in_preterm_infants_a_protocol_for_a_systematic_review_and_network_meta-analysis
In this article, we review the current evidence for interventions applied during neonatal transition (delivery room and first postnatal hours of life) to prevent BPD in extremely preterm infants ...
https://www.researchgate.net/publication/292945527_Delivery_room_management_of_extremely_preterm_infants_The_EPIPAGE-2_study
Delivery room management of extremely preterm infants: The EPIPAGE-2 study. Objective To analyse the delivery room management of babies born between 22 and 26 weeks of completed gestational age and to identify the factors associated with the withholding or withdrawal of intensive care.
https://www.cpqcc.org/sites/default/files/DRToolkitUpdateFinal5-18-11.pdf
A guiding principle of this toolkit is that whenever possible/feasible, the delivery room/resuscitation room environment should mimic as closely as possible that of the Neonatal Intensive Care Unit, and that every effort should be made to establish homeostasis as soon as possible after birth for all newborn infants.File Size: 725KB
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4857228/
May 08, 2016 · Despite significant advances in perinatal medicine, the management of extremely preterm infants in the delivery room remains a challenge. There is an increasing evidence for improved outcomes regarding the resuscitation and stabilisation of extremely preterm infants but there is a lack of evidence in the periviable (gestational age 23-25 wk) preterm subgroup.Author: Pooja N Patel, Jayanta Banerjee, Sunit V Godambe
https://fn.bmj.com/content/early/2020/04/09/archdischild-2020-318927
Apr 09, 2020 · Many frontline providers of delivery room care of extremely preterm infants will have completed a Resuscitation Council UK (RCUK) Newborn Life Support or Advanced Resuscitation of the Newborn Infant course. This RCUK response to the BAPM Framework highlights how this might impact on their approach.
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