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A survey on criteria for intubation in moderate to late preterm infants with respiratory distress

Pediatric Pulmonology Sep 21, 2020

Feng SYS, et al. - Given that majority of preterm infants do well with continuous positive airway pressure (CPAP) as the sole respiratory management, however, some need endotracheal intubation and surfactant administration, researchers sought to understand the current practice regarding “criteria for intubation” in moderate to late preterm infants with respiratory distress. Between April and June 2019, a survey of neonatologists in Australia New Zealand Neonatal Network was performed. According to results, the most common intubation criteria were CPAP = 8 cmH2O (61%), pH < 7.2 (55%), pCO2 > 70 mmHg (48%), FiO2 > 40% (40%), chest retractions (48%), more than two episodes of apnea requiring intervention (54%), and chest X‐ray (CXR) showing moderate–severe hyaline membrane disease (HMD, 49%). Although there were variations in practice, approximately 50% of the neonatologists shared a common threshold with regards to the CPAP level, FiO2, blood gas parameters, and clinical and radiological results. The results of this survey will aid in the future design of randomised controlled trials on this topic.

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