Oxygen for the delivery room respiratory support of moderate‐to‐late preterm infants. An international survey of clinical practice from 21 countries
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....
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| Veröffentlicht in: | Acta Paediatrica 2021-12, Vol.110 (12), p.3261-3268 |
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| creator | Sotiropoulos, James X. Kapadia, Vishal Vento, Maximo Rabi, Yacov Saugstad, Ola D. Kumar, R. Kishore Schmölzer, Georg M. Zhang, Huyan Yuan, Yuan Lim, Gina Kusuda, Satoshi Arimitsu, Takeshi Nguyen, Tinh Thu Kitsommart, Ratchada Yeo, Kee Thai Oei, Ju Lee |
| description | 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. |
| doi_str_mv | 10.1111/apa.16091 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2569377966</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2569377966</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4191-c1c2e0f1d125f63b87841f50da717fc0bb452bd9f1464ecf922f78678a3ed67b3</originalsourceid><addsrcrecordid>eNp1kb1u1TAYhi0EoofCwA0gSyww5NT_Tsajij-pUhlgjhznM7hy4mA7Ldm4BEaujyvB5RQGJDzYn149ej5ZL0JPKdnTes7MYvZUkY7eQzuqJG0YY_o-2pGW8EYyyU_Qo5yvCGG8E-ohOuFCaN5KuUM_Lr9un2DGLiZcPgMeIfhrSBtOMU44QV58MiXWIK_LElPB0eEpjlBT-Pnte4n1CnXGS4ICacJ-dmYueY8Pc51rNJvi42xCNaRr2G4FNvjZ2xotydjiLWCX6jpGsY3rXJKH_Bg9cCZkeHL3nqKPr199OH_bXFy-eXd-uGisoB1tLLUMiKMjZdIpPrS6FdRJMhpNtbNkGIRkw9g5KpQA6zrGnG6Vbg2HUemBn6IXR--S4pcVcuknny2EYGaIa-6ZVB3XulOqos__Qa_iWr8XKqUIlZoIyir18kjZFHNO4Pol-cmkraekv62rr3X1v-uq7LM74zpMMP4l__RTgbMjcOMDbP839Yf3h6PyF3B-oxs</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2601570412</pqid></control><display><type>article</type><title>Oxygen for the delivery room respiratory support of moderate‐to‐late preterm infants. An international survey of clinical practice from 21 countries</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Alma/SFX Local Collection</source><creator>Sotiropoulos, James X. ; Kapadia, Vishal ; Vento, Maximo ; Rabi, Yacov ; Saugstad, Ola D. ; Kumar, R. Kishore ; Schmölzer, Georg M. ; Zhang, Huyan ; Yuan, Yuan ; Lim, Gina ; Kusuda, Satoshi ; Arimitsu, Takeshi ; Nguyen, Tinh Thu ; Kitsommart, Ratchada ; Yeo, Kee Thai ; Oei, Ju Lee</creator><creatorcontrib>Sotiropoulos, James X. ; Kapadia, Vishal ; Vento, Maximo ; Rabi, Yacov ; Saugstad, Ola D. ; Kumar, R. Kishore ; Schmölzer, Georg M. ; Zhang, Huyan ; Yuan, Yuan ; Lim, Gina ; Kusuda, Satoshi ; Arimitsu, Takeshi ; Nguyen, Tinh Thu ; Kitsommart, Ratchada ; Yeo, Kee Thai ; Oei, Ju Lee</creatorcontrib><description>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.</description><identifier>ISSN: 0803-5253</identifier><identifier>EISSN: 1651-2227</identifier><identifier>DOI: 10.1111/apa.16091</identifier><identifier>PMID: 34473855</identifier><language>eng</language><publisher>Norway: Wiley Subscription Services, Inc</publisher><subject>Clinical trials ; delivery room practice ; Delivery Rooms ; Female ; Heart rate ; Humans ; Infant ; Infant, Newborn ; Infant, Premature ; Infants ; moderate‐late preterm infant ; neonatal resuscitation ; Neonates ; Newborn babies ; Oximetry ; Oxygen ; oxygen concentration ; oxygen saturation ; Oxygenation ; Pregnancy ; Premature babies ; Resuscitation ; Surveys and Questionnaires</subject><ispartof>Acta Paediatrica, 2021-12, Vol.110 (12), p.3261-3268</ispartof><rights>2021 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd</rights><rights>2021 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4191-c1c2e0f1d125f63b87841f50da717fc0bb452bd9f1464ecf922f78678a3ed67b3</citedby><cites>FETCH-LOGICAL-c4191-c1c2e0f1d125f63b87841f50da717fc0bb452bd9f1464ecf922f78678a3ed67b3</cites><orcidid>0000-0001-5845-5647 ; 0000-0003-0061-4742 ; 0000-0001-5318-8877</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fapa.16091$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fapa.16091$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27907,27908,45557,45558</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34473855$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sotiropoulos, James X.</creatorcontrib><creatorcontrib>Kapadia, Vishal</creatorcontrib><creatorcontrib>Vento, Maximo</creatorcontrib><creatorcontrib>Rabi, Yacov</creatorcontrib><creatorcontrib>Saugstad, Ola D.</creatorcontrib><creatorcontrib>Kumar, R. Kishore</creatorcontrib><creatorcontrib>Schmölzer, Georg M.</creatorcontrib><creatorcontrib>Zhang, Huyan</creatorcontrib><creatorcontrib>Yuan, Yuan</creatorcontrib><creatorcontrib>Lim, Gina</creatorcontrib><creatorcontrib>Kusuda, Satoshi</creatorcontrib><creatorcontrib>Arimitsu, Takeshi</creatorcontrib><creatorcontrib>Nguyen, Tinh Thu</creatorcontrib><creatorcontrib>Kitsommart, Ratchada</creatorcontrib><creatorcontrib>Yeo, Kee Thai</creatorcontrib><creatorcontrib>Oei, Ju Lee</creatorcontrib><title>Oxygen for the delivery room respiratory support of moderate‐to‐late preterm infants. An international survey of clinical practice from 21 countries</title><title>Acta Paediatrica</title><addtitle>Acta Paediatr</addtitle><description>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.</description><subject>Clinical trials</subject><subject>delivery room practice</subject><subject>Delivery Rooms</subject><subject>Female</subject><subject>Heart rate</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infants</subject><subject>moderate‐late preterm infant</subject><subject>neonatal resuscitation</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>Oximetry</subject><subject>Oxygen</subject><subject>oxygen concentration</subject><subject>oxygen saturation</subject><subject>Oxygenation</subject><subject>Pregnancy</subject><subject>Premature babies</subject><subject>Resuscitation</subject><subject>Surveys and Questionnaires</subject><issn>0803-5253</issn><issn>1651-2227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kb1u1TAYhi0EoofCwA0gSyww5NT_Tsajij-pUhlgjhznM7hy4mA7Ldm4BEaujyvB5RQGJDzYn149ej5ZL0JPKdnTes7MYvZUkY7eQzuqJG0YY_o-2pGW8EYyyU_Qo5yvCGG8E-ohOuFCaN5KuUM_Lr9un2DGLiZcPgMeIfhrSBtOMU44QV58MiXWIK_LElPB0eEpjlBT-Pnte4n1CnXGS4ICacJ-dmYueY8Pc51rNJvi42xCNaRr2G4FNvjZ2xotydjiLWCX6jpGsY3rXJKH_Bg9cCZkeHL3nqKPr199OH_bXFy-eXd-uGisoB1tLLUMiKMjZdIpPrS6FdRJMhpNtbNkGIRkw9g5KpQA6zrGnG6Vbg2HUemBn6IXR--S4pcVcuknny2EYGaIa-6ZVB3XulOqos__Qa_iWr8XKqUIlZoIyir18kjZFHNO4Pol-cmkraekv62rr3X1v-uq7LM74zpMMP4l__RTgbMjcOMDbP839Yf3h6PyF3B-oxs</recordid><startdate>202112</startdate><enddate>202112</enddate><creator>Sotiropoulos, James X.</creator><creator>Kapadia, Vishal</creator><creator>Vento, Maximo</creator><creator>Rabi, Yacov</creator><creator>Saugstad, Ola D.</creator><creator>Kumar, R. Kishore</creator><creator>Schmölzer, Georg M.</creator><creator>Zhang, Huyan</creator><creator>Yuan, Yuan</creator><creator>Lim, Gina</creator><creator>Kusuda, Satoshi</creator><creator>Arimitsu, Takeshi</creator><creator>Nguyen, Tinh Thu</creator><creator>Kitsommart, Ratchada</creator><creator>Yeo, Kee Thai</creator><creator>Oei, Ju Lee</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5845-5647</orcidid><orcidid>https://orcid.org/0000-0003-0061-4742</orcidid><orcidid>https://orcid.org/0000-0001-5318-8877</orcidid></search><sort><creationdate>202112</creationdate><title>Oxygen for the delivery room respiratory support of moderate‐to‐late preterm infants. An international survey of clinical practice from 21 countries</title><author>Sotiropoulos, James X. ; Kapadia, Vishal ; Vento, Maximo ; Rabi, Yacov ; Saugstad, Ola D. ; Kumar, R. Kishore ; Schmölzer, Georg M. ; Zhang, Huyan ; Yuan, Yuan ; Lim, Gina ; Kusuda, Satoshi ; Arimitsu, Takeshi ; Nguyen, Tinh Thu ; Kitsommart, Ratchada ; Yeo, Kee Thai ; Oei, Ju Lee</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4191-c1c2e0f1d125f63b87841f50da717fc0bb452bd9f1464ecf922f78678a3ed67b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Clinical trials</topic><topic>delivery room practice</topic><topic>Delivery Rooms</topic><topic>Female</topic><topic>Heart rate</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Infants</topic><topic>moderate‐late preterm infant</topic><topic>neonatal resuscitation</topic><topic>Neonates</topic><topic>Newborn babies</topic><topic>Oximetry</topic><topic>Oxygen</topic><topic>oxygen concentration</topic><topic>oxygen saturation</topic><topic>Oxygenation</topic><topic>Pregnancy</topic><topic>Premature babies</topic><topic>Resuscitation</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sotiropoulos, James X.</creatorcontrib><creatorcontrib>Kapadia, Vishal</creatorcontrib><creatorcontrib>Vento, Maximo</creatorcontrib><creatorcontrib>Rabi, Yacov</creatorcontrib><creatorcontrib>Saugstad, Ola D.</creatorcontrib><creatorcontrib>Kumar, R. Kishore</creatorcontrib><creatorcontrib>Schmölzer, Georg M.</creatorcontrib><creatorcontrib>Zhang, Huyan</creatorcontrib><creatorcontrib>Yuan, Yuan</creatorcontrib><creatorcontrib>Lim, Gina</creatorcontrib><creatorcontrib>Kusuda, Satoshi</creatorcontrib><creatorcontrib>Arimitsu, Takeshi</creatorcontrib><creatorcontrib>Nguyen, Tinh Thu</creatorcontrib><creatorcontrib>Kitsommart, Ratchada</creatorcontrib><creatorcontrib>Yeo, Kee Thai</creatorcontrib><creatorcontrib>Oei, Ju Lee</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Acta Paediatrica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sotiropoulos, James X.</au><au>Kapadia, Vishal</au><au>Vento, Maximo</au><au>Rabi, Yacov</au><au>Saugstad, Ola D.</au><au>Kumar, R. Kishore</au><au>Schmölzer, Georg M.</au><au>Zhang, Huyan</au><au>Yuan, Yuan</au><au>Lim, Gina</au><au>Kusuda, Satoshi</au><au>Arimitsu, Takeshi</au><au>Nguyen, Tinh Thu</au><au>Kitsommart, Ratchada</au><au>Yeo, Kee Thai</au><au>Oei, Ju Lee</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Oxygen for the delivery room respiratory support of moderate‐to‐late preterm infants. An international survey of clinical practice from 21 countries</atitle><jtitle>Acta Paediatrica</jtitle><addtitle>Acta Paediatr</addtitle><date>2021-12</date><risdate>2021</risdate><volume>110</volume><issue>12</issue><spage>3261</spage><epage>3268</epage><pages>3261-3268</pages><issn>0803-5253</issn><eissn>1651-2227</eissn><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.</abstract><cop>Norway</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34473855</pmid><doi>10.1111/apa.16091</doi><tpages>0</tpages><orcidid>https://orcid.org/0000-0001-5845-5647</orcidid><orcidid>https://orcid.org/0000-0003-0061-4742</orcidid><orcidid>https://orcid.org/0000-0001-5318-8877</orcidid></addata></record> |
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| ispartof | Acta Paediatrica, 2021-12, Vol.110 (12), p.3261-3268 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Alma/SFX Local Collection |
| subjects | Clinical trials delivery room practice Delivery Rooms Female Heart rate Humans Infant Infant, Newborn Infant, Premature Infants moderate‐late preterm infant neonatal resuscitation Neonates Newborn babies Oximetry Oxygen oxygen concentration oxygen saturation Oxygenation Pregnancy Premature babies Resuscitation Surveys and Questionnaires |
| title | Oxygen for the delivery room respiratory support of moderate‐to‐late preterm infants. An international survey of clinical practice from 21 countries |
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