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Oxygen for the delivery room respiratory support of moderate to late preterm infants. An international survey of clinical practice from 21 countries

Acta Pediatrica Sep 09, 2021

Sotiropoulos JX, Kapadia V, Vento M, et al. - Most clinicians resuscitated moderate-late preterm infants with lower initial FiO 2, but some are unable or unwilling to target SpO 2 or titrate FiO 2. Most people believe that heart rate is a better predictor of infant response than SpO 2. Clinicians support large and robust clinical trials examining oxygen use for moderate-late preterm resuscitation, including long-term neurodevelopmental outcomes.

  • An anonymous online questionnaire was distributed to neonatologists in 21 countries (October 2020-March 2021) via REDCap via email/social messaging platforms.

  • It was noted that 69% of the 695 respondents had access to oxygen blenders, and 90% had pulse oximeters.

  • High-income respondents were more likely to own oxygen blenders than those from middle-income countries (72% v 66%).

  • The majority started respiratory support with FiO 2 0.21 (43%) or 0.3 (36%), but only 45% titrated FiO 2 to target SpO 2.

  • The majority (89%) thought heart rate was a better predictor of response than SpO 2.

  • Almost all ((96%) agreed that well-designed trials to investigate oxygenation in moderate-to-late preterm resuscitation were needed.

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