Document Detail


Survey of neonatal respiratory support use in very preterm infants in Italy.
MedLine Citation:
PMID:  23016609     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: Respiratory support in very preterm infants is often a life-saving procedure and several techniques are available. There is lack of data on the current use of these techniques. METHODS AND AIM: We analyzed a cohort of infants <30 weeks gestation or < 1501 g birth weight, enrolled in the Italian Neonatal Network in 2009 and 2010 (n = 8297, mean gestation = 29.3 weeks, mean birth weight = 1089 g) to ascertain the use of several techniques. We also conducted a questionnaire survey of all neonatal units adhering to the Italian Neonatal Network, inquiring about preferred methods of respiratory support.
RESULTS: Conventional ventilation was used in 53% of these infants, high frequency ventilation in 15.8%, CPAP in 71.6%, and surfactant in 56.2%. Huge variations were observed between hospitals for all techniques studied. The survey of centres showed that all respondents considered non-invasive ventilation the first-intention treatment for these infants. In case of need of tracheal intubation and mechanical ventilation, two hospitals said they used IPPV/IMV; 20 synchronized IPPV/IMV; 25 "volume guarantee"; and 10 hospitals used HFV as a first intention treatment (in five hospital for all infants, and in other five hospitals, depending upon birth weight/gestation.
CONCLUSIONS: This study provides large scale, up to date results of the current methods of respiratory support in very preterm infants in Italy. Huge variations between hospitals, only partly explained by the paucity of evidence-based data, are apparent. These differences point to the possibility of implementing "potentially better practices" with the aim of reducing unwanted, physician-related variation.
Authors:
Luigi Gagliardi; Paolo Tagliabue; Roberto Bellù; Carlo Corchia; Fabio Mosca; Rinaldo Zanini;
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  25 Suppl 3     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  1-5     Citation Subset:  IM    
Affiliation:
Pediatrics and Neonatology Division, Woman and Child Health Department, Ospedale Versilia, Lido di Camaiore, Italy. l.gagliardi@neonatalnet.org
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Investigator/Affiliation:
Gianpaolo Mirri / ; Manuela Condò / ; D Turoli / ; Gaia Weissmann / ; Mara Vanzati / ; Giuseppe De Nisi / ; E Villa / ; Guido Moro / ; Pietro Guerrini / ; Raffaella Contiero / ; Serena Ellero / ; Riccardo Furlan / ; Laura Abbiati / ; Cesarina Borroni / ; Giovanna Prandi / ; Claudio Fabris / ; Francesca Vielmi / ; Massimo Agosti / ; Francesco Tandoi / ; Guidali / ; Mario De Curtis / ; Claudio Tozzi / ; Renato Lucchini / ; Marina Battaglioli / ; Gian Luca Lista / ; Paola Introvini / ; Fabrizio Ferrari / ; Claudio Gallo / ; Elvira Bellante / ; Chiara Bottura / ; Francesca Pasquali / ; Simona Boccacci / ; Giuseppe Latini / ; Raffaella Giannuzzi / ; Stefano Martinelli / ; Alberto Brunelli / ; Giuliana Motta / ; Maria Lucia Di Nunzio / ; Antonio Vendemiati / ; Carlo Zorzi / ; Giovanna Carli / ; Alfiero / ; Nicola Romeo / ; Palma Mammoliti / ; Emanuele Mastretta / ; Laura Barberis / ; Daniele Farina / ; Gianpaolo Gancia / ; Cristina Dalmazzo / ; Marcello Napolitano / ; Francesco Messina / ; Giuseppe Rinaldi / ; Rosario Magaldi / ; Matteo Rinaldi / ; Rosangela Litta / ; Paola Lago / ; Vincenzo Zanardo / ; Lino Chiandetti / ; Stefano Visentin / ; Giuseppe Presta / ; Davide Cella / ; Carlo Poggiani / ; Daniela Ferrari / ; Sara Parati / ; Francesco Lombardo / ; Rosetta Grigorio / ; Graziano Barera / ; Margherita Franco / ; Antonella Poloniato / ; Angelo Colombo / ; Giampiero Burgio / ; Elena Sala / ; Ignazio Barberi / ; Venera Tiralongo / ; Alessandro Arco / ; Carlo Dani / ; Simone Pratesi / ; Valeria Mignatti / ; Gina Ancora / ; Giacomo Faldella / ; Sara Grandi / ; Mauro Stronati / ; Gianfranco Perotti / ; Gaetano Chirico / ; Claudio Migliori / ; Sergio De Marini / ; Vincenzo Forleo / ; Roberto Paludetto / ; Letizia Capasso / ; Giuseppina Mansi / ; Francesco Raimondi / ; Gianni Bona / ; Ilaria Stucchi / ; Savastio / ; Federica Ferrero / ; Andrea Parola / ; Ezio Maria Padovani / ; Elena Viviani / ; Laura Pecoraro / ; Rocco Agostino / ; Camilla Gizzi / ; Luca Massenzi / ; Hubert Messner / ; Alex Staffler / ; Gennaro Salvia / ; Luigi Esposito / ; Vincenzo Forziati / ; Giuseppe Latorre / ; Fabrizio Sandri / ; Stefania Alati / ; Fabrizio Demaria / ; Oreste Lombardi / ; Carmine Deni Costabile / ; Gianfranco Scarpelli / ; Claudio Cavalli / ; Enrico Volante / ; Dottissa Proietti / ; Olga Ganguzza / ; Bartolomeo Spinella / ; Cristina Haass / ; Eleonora Scapillati / ; Chiara Consigli / ; Alberto Gatta / ; Pasqua Quitadamo / ; Antonio Boldrini / ; Marco Vuerich / ; Emilio Sigali / ; Paolo Ghirri / ; Patrizio Fiorini / ; Letizia Petrucci / ; Marco Moroni / ; Patrizia Braghetti / ; Paola Casucci / ; Liliana Minelli / ; Daniele Mezzetti / ; Luigi Orfeo / ; Maria Gabriella De Luca / ; Nicola Laforgia / ; Alessandro Grassi / ; Andrea Dotta / ; Ferdinando Savignoni / ; Franco Bagnoli / ; Claudio De Felice / ; Silvia Badii / ; Augusto Biasini / ; Antonio Belluzzi / ; Marcello Stella / ; Costantino Romagnoli / ; Enric Zecca / ; Giovanni Barone / ; Paolo Colleselli / ; Luca Vecchiato / ; Dottissa Nicolussi / ; Paolo Giliberti / ; Giovanni Chello / ; Silvana Rojo / ; Chiara Giovanettoni / ; Clelia A Colnaghi / ; Elena Verucci / ; Giulia Placidi / ; Cesare Belloni / ; Giuseppe Carrera / ; Chiara Zambetti / ; Paolo Biban / ; Alessandra Serra / ; Virgilio Carnielli / ; Annalisa Pedini / ; Gennaro Vetrano / ; Giuseppe Furcolo / ; Brigida Pasquariello / ; Luigi Falco / ; Gaetano Ausanio / ; Italo Bernardo / ; Giuseppe Marchesano / ; Norberto Nosari / ; Paola Sarnelli / ; Mario Maccabruni / ; Daniele Merazzi / ; Diego Gazzolo / ; Francesca Temporini / ; Miriam Sabatini / ; Micaela Colivicchi / ; Antonio Del Vecchio / ; Marzia Tarantino / ; Giancarlo Gargano / ; Dsimona Pedori / ; Massimo Bellettato / ; Roberta Pesavento / ; Alessandra Cesaro / ; Antonio Nicolò / ; Isabella Mondello / ; Aniello Pugliese / ; Claudio Iervolino / ; Giovanni Corsello / ; Mario Giuffré / ; Maria Betta / ; Mario Giuseppe Romeo / ; Alessandro Saporito / ; Carmine D'Incecco / ; Barbara Perrone / ; Maria Grazia Leone / ; Alessandro Rodonò / ; Giovanni Serra / ; Alessia Franceschi / ; Francesco M Risso / ; Mauro Carpentieri / ; Maria Pia Cigliano / ; Piermichele Paolillo / ; Simonetta Picone / ; Antonio Marra / ; Dottissa Rossetti / ; Tiziana Testa / ; Fernando Del Cuore /

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