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T-piece Resuscitator versus Self-Inflating Bag for Preterm Resuscitation - an Institutional Experience.
MedLine Citation:
PMID:  23232739     Owner:  NLM     Status:  Publisher    
BACKGROUND. : Positive pressure ventilation (PPV) is provided by manual ventilation devices such as self-inflating bags (SIB), flow inflating bags and T-piece resuscitators. The objective of this study is to compare the effect of type of manual ventilation device on overall response to resuscitation among preterm neonates born < 35 weeks gestation. METHODS. Retrospective data were collected in 2 time periods. Primary outcome was overall response to resuscitation as measured by Apgar score. Secondary outcomes were incidence of airleaks, need for chest compressions/epinephrine, need for intubation and surfactant use. RESULTS. 294 resuscitations requiring PPV were identified. 135 neonates had SIB used and 159 neonates had T-piece used to provide PPV. There was no significant difference in 1 and 5 minute Apgar scores between devices (P=0.770, P=0.105 respectively) nor were there significant differences in secondary outcomes. The rate of rise of Apgar scores was higher by 0.47 for the T-piece compared to the SIB (95%CI=0.08, 0.87, P=0.019) CONCLUSION. Although some manikin studies favor the T piece device in providing reliable and consistent pressures, our experience did not indicate significant differences in effectiveness of resuscitation between the T piece and SIB in preterm resuscitations.
Archana Jayaram; Adam Sima; Gail Barker; Leroy R Thacker
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-4
Journal Detail:
Title:  Respiratory care     Volume:  -     ISSN:  0020-1324     ISO Abbreviation:  Respir Care     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7510357     Medline TA:  Respir Care     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Division of Neonatal-Perinatal Medicine Children's Hospital Of Richmond at VCU.
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