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Tidal volume monitoring during initial resuscitation of extremely prematurely born infants

Research output: Contribution to journalArticle

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Tidal volume monitoring during initial resuscitation of extremely prematurely born infants. / Hunt, Katie A.; Murthy, Vadivelam; Bhat, Prashanth; Fox, Grenville F.; Campbell, Morag E.; Milner, Anthony D.; Greenough, Anne.

In: Journal of Perinatal Medicine, Vol. 47, No. 6, 01.08.2019, p. 665-670.

Research output: Contribution to journalArticle

Harvard

Hunt, KA, Murthy, V, Bhat, P, Fox, GF, Campbell, ME, Milner, AD & Greenough, A 2019, 'Tidal volume monitoring during initial resuscitation of extremely prematurely born infants', Journal of Perinatal Medicine, vol. 47, no. 6, pp. 665-670. https://doi.org/10.1515/jpm-2018-0389

APA

Hunt, K. A., Murthy, V., Bhat, P., Fox, G. F., Campbell, M. E., Milner, A. D., & Greenough, A. (2019). Tidal volume monitoring during initial resuscitation of extremely prematurely born infants. Journal of Perinatal Medicine, 47(6), 665-670. https://doi.org/10.1515/jpm-2018-0389

Vancouver

Hunt KA, Murthy V, Bhat P, Fox GF, Campbell ME, Milner AD et al. Tidal volume monitoring during initial resuscitation of extremely prematurely born infants. Journal of Perinatal Medicine. 2019 Aug 1;47(6):665-670. https://doi.org/10.1515/jpm-2018-0389

Author

Hunt, Katie A. ; Murthy, Vadivelam ; Bhat, Prashanth ; Fox, Grenville F. ; Campbell, Morag E. ; Milner, Anthony D. ; Greenough, Anne. / Tidal volume monitoring during initial resuscitation of extremely prematurely born infants. In: Journal of Perinatal Medicine. 2019 ; Vol. 47, No. 6. pp. 665-670.

Bibtex Download

@article{cc0d0dd33840466f8f7e0ee034773b5e,
title = "Tidal volume monitoring during initial resuscitation of extremely prematurely born infants",
abstract = "Airway obstruction can occur during facemask (FM) resuscitation of preterm infants at birth. Intubation bypasses any upper airway obstruction. Thus, it would be expected that the occurrence of low expiratory tidal volumes (VTes) would be less in infants resuscitated via an endotracheal tube (ETT) rather than via an FM. Our aim was to test this hypothesis. Analysis was undertaken of respiratory function monitoring traces made during initial resuscitation in the delivery suite to determine the peak inflating pressure (PIP), positive end expiratory pressure (PEEP), the VTe and maximum exhaled carbon dioxide (ETCO2) levels and the number of inflations with a low VTe (less than 2.2 mL/kg). Eighteen infants were resuscitated via an ETT and 11 via an FM, all born at less than 29 weeks of gestation. Similar inflation pressures were used in both groups (17.2 vs. 18.8 cmH2O, P = 0.67). The proportion of infants with a low median VTe (P = 0.6) and the proportion of inflations with a low VTe were similar in the groups (P = 0.10), as was the lung compliance (P = 0.67). Infants with the lowest VTe had the stiffest lungs (P < 0.001). Respiratory function monitoring during initial resuscitation can objectively identify infants who may require escalation of inflation pressures.",
keywords = "carbon dioxide, endotracheal tube, facemask, intubation, prematurity, respiratory function monitoring, resuscitation, tidal volume",
author = "Hunt, {Katie A.} and Vadivelam Murthy and Prashanth Bhat and Fox, {Grenville F.} and Campbell, {Morag E.} and Milner, {Anthony D.} and Anne Greenough",
year = "2019",
month = aug,
day = "1",
doi = "10.1515/jpm-2018-0389",
language = "English",
volume = "47",
pages = "665--670",
journal = "Journal of Perinatal Medicine",
issn = "0300-5577",
publisher = "Walter de Gruyter GmbH",
number = "6",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Tidal volume monitoring during initial resuscitation of extremely prematurely born infants

AU - Hunt, Katie A.

AU - Murthy, Vadivelam

AU - Bhat, Prashanth

AU - Fox, Grenville F.

AU - Campbell, Morag E.

AU - Milner, Anthony D.

AU - Greenough, Anne

PY - 2019/8/1

Y1 - 2019/8/1

N2 - Airway obstruction can occur during facemask (FM) resuscitation of preterm infants at birth. Intubation bypasses any upper airway obstruction. Thus, it would be expected that the occurrence of low expiratory tidal volumes (VTes) would be less in infants resuscitated via an endotracheal tube (ETT) rather than via an FM. Our aim was to test this hypothesis. Analysis was undertaken of respiratory function monitoring traces made during initial resuscitation in the delivery suite to determine the peak inflating pressure (PIP), positive end expiratory pressure (PEEP), the VTe and maximum exhaled carbon dioxide (ETCO2) levels and the number of inflations with a low VTe (less than 2.2 mL/kg). Eighteen infants were resuscitated via an ETT and 11 via an FM, all born at less than 29 weeks of gestation. Similar inflation pressures were used in both groups (17.2 vs. 18.8 cmH2O, P = 0.67). The proportion of infants with a low median VTe (P = 0.6) and the proportion of inflations with a low VTe were similar in the groups (P = 0.10), as was the lung compliance (P = 0.67). Infants with the lowest VTe had the stiffest lungs (P < 0.001). Respiratory function monitoring during initial resuscitation can objectively identify infants who may require escalation of inflation pressures.

AB - Airway obstruction can occur during facemask (FM) resuscitation of preterm infants at birth. Intubation bypasses any upper airway obstruction. Thus, it would be expected that the occurrence of low expiratory tidal volumes (VTes) would be less in infants resuscitated via an endotracheal tube (ETT) rather than via an FM. Our aim was to test this hypothesis. Analysis was undertaken of respiratory function monitoring traces made during initial resuscitation in the delivery suite to determine the peak inflating pressure (PIP), positive end expiratory pressure (PEEP), the VTe and maximum exhaled carbon dioxide (ETCO2) levels and the number of inflations with a low VTe (less than 2.2 mL/kg). Eighteen infants were resuscitated via an ETT and 11 via an FM, all born at less than 29 weeks of gestation. Similar inflation pressures were used in both groups (17.2 vs. 18.8 cmH2O, P = 0.67). The proportion of infants with a low median VTe (P = 0.6) and the proportion of inflations with a low VTe were similar in the groups (P = 0.10), as was the lung compliance (P = 0.67). Infants with the lowest VTe had the stiffest lungs (P < 0.001). Respiratory function monitoring during initial resuscitation can objectively identify infants who may require escalation of inflation pressures.

KW - carbon dioxide

KW - endotracheal tube

KW - facemask

KW - intubation

KW - prematurity

KW - respiratory function monitoring

KW - resuscitation

KW - tidal volume

UR - http://www.scopus.com/inward/record.url?scp=85066297287&partnerID=8YFLogxK

U2 - 10.1515/jpm-2018-0389

DO - 10.1515/jpm-2018-0389

M3 - Article

AN - SCOPUS:85066297287

VL - 47

SP - 665

EP - 670

JO - Journal of Perinatal Medicine

JF - Journal of Perinatal Medicine

SN - 0300-5577

IS - 6

ER -

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