Relevant Reading: Delivery Room Resuscitation and Short-Term Outcomes in Moderately Preterm Infants In general, this study provides compelling evidence that DR resuscitation in MLP infants is highly variable across NICU sites and would likely benefit from specific guidelines to improve practice consistency.Ĭlick here to read the article in PEDIATRICS One notable limitation is that this study does not include infants requiring DR interventions that were not admitted to the NICU, which omits a large subpopulation, limiting generalizability. These findings suggest that MLP DR interventions are trending towards a more non-invasive approach and have lower rates of complications. Over the study period, there were significant increases in CPAP and small increases in PPV use, and decreased ETT ventilation and surfactant administration across all gestational age groups. The use of DR interventions was widely variable across hospital sites, with most variation occurring in continuous positive airway pressure (CPAP) use. There was a decrease in resuscitation-related pneumothorax from 1.9% to 1.6% over the study period. In general, the rate of DR intervention was 55.3% in MLP infants and decreased with increasing gestational age. The study included infants born between 30 to 36 6/7 weeks gestation between 20 in NICUs throughout the United States that are part of the Vermont Oxford Network (VON). This study aimed to assess intervention frequency stratified by gestational age, types of interventions, and rates of resuscitation-associated complications in MLP infants. Previous studies of DR resuscitation have focused primarily on very low birth weight or extremely preterm infants.
Patients who had a prior history of malignancies other than DLBCL, unless the patient has been free of the disease for ≥5 years prior to inclusion.Study Rundown: Delivery room (DR) resuscitation is common among moderate and late preterm (MLP) infants and is critical for optimizing management and outcomes. Patients who underwent an allogeneic stem cell transplant.