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A Survey of the Union of European Neonatal and Perinatal Societies on Neonatal Respiratory Care in Neonatal Intensive Care Units.
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; Filipovic-Grcic, Boris; Jeckova, Nelly Georgieva; Koç, Esin; Saldanha, Joana; Sanchez-Luna, Manuel; Stoniene, Dalia; Varendi, Heili; Vertecchi, Giulia; Mosca, Fabio.
Afiliación
  • Moretti C; Department of Pediatrics, Policlinico Umberto I, Sapienza University, 00185 Rome, Italy.
  • Gizzi C; Union of European Neonatal and Perinatal Societies (UENPS), 20143 Milan, Italy.
  • Gagliardi L; Union of European Neonatal and Perinatal Societies (UENPS), 20143 Milan, Italy.
  • Petrillo F; Department of Neonatology and NICU, Ospedale Sant'Eugenio, 00144 Rome, Italy.
  • Ventura ML; Division of Neonatology and Pediatrics, Ospedale Versilia, 55043 Viareggio, Italy.
  • Trevisanuto D; Maternal and Child Department ASL Bari, Ospedale di Venere, 70131 Bari, Italy.
  • Lista G; Neonatal Intensive Care Unit, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, Italy.
  • Dellacà RL; Department of Woman's and Child's Health, University of Padova, 35122 Padova, Italy.
  • Beke A; Union of European Neonatal and Perinatal Societies (UENPS), 20143 Milan, Italy.
  • Buonocore G; Division of Pediatrics, Neonatal Intensive Care Unit and Neonatology, Ospedale dei Bambini "V.Buzzi", ASST FBF SACCO, 20154 Milan, Italy.
  • Charitou A; TechRes Lab, Department of Electronics, Information and Biomedical Engineering (DEIB), Politecnico di Milano University, 20133 Milan, Italy.
  • Cucerea M; Union of European Neonatal and Perinatal Societies (UENPS), 20143 Milan, Italy.
  • Filipovic-Grcic B; 1st Department of Obstetrics and Gynecology, Semmelweis University, 1085 Budapest, Hungary.
  • Jeckova NG; Union of European Neonatal and Perinatal Societies (UENPS), 20143 Milan, Italy.
  • Koç E; Department of Pediatrics, Università degli Studi di Siena, 53100 Siena, Italy.
  • Saldanha J; Union of European Neonatal and Perinatal Societies (UENPS), 20143 Milan, Italy.
  • Sanchez-Luna M; Department of Pediatrics, Rea Maternity Hospital, 17564 Athens, Greece.
  • Stoniene D; Union of European Neonatal and Perinatal Societies (UENPS), 20143 Milan, Italy.
  • Varendi H; Neonatology Department, University of Medicine Pharmacy Sciences and Technology "George Emil Palade", 540142 Târgu Mures, Romania.
  • Vertecchi G; Union of European Neonatal and Perinatal Societies (UENPS), 20143 Milan, Italy.
  • Mosca F; Department of Pediatrics, University of Zagreb School of Medicine, 10000 Zagreb, Croatia.
Children (Basel) ; 11(2)2024 Jan 26.
Article en En | MEDLINE | ID: mdl-38397269
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 FiO2 is set as per guidelines. Most units use heated humidified gases to prevent heat loss. SpO2 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 FiO2 and SpO2/FiO2 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Children (Basel) Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Children (Basel) Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza