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A simple method of less than 100% oxygen resuscitation for preterm infants.
MedLine Citation:
PMID:  22726245     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective:  To determine the feasibility of 50-60% oxygen resuscitation by a simple method using a self-inflation bag without oxygen reservoir for positive pressure ventilation (PPV) or using a constant distance and flow rate for blow-by-oxygen. Methods:  Newly born infants ≤ 35 wk gestational age were eligible. Infants requiring PPV were initiated with bag-mask PPV without oxygen reservoir. Nearly 100% oxygen was given by attaching oxygen reservoir if HR <100/min after PPV for 90 sec or SpO(2 ) < 75% at 3 min. For those requiring blow-by-oxygen, oxygen flow 5 L/min via face-mask was given 2 inches far from the nose. Almost 100% oxygen was given by close-fitting face-mask to nose if SpO(2 ) < 80% at 5 min. Results:  Ninety-one infants were eligible; 67 of them required resuscitation. Thirty-five infants required PPV; 27 (77.1%) responded to bag-mask PPV without oxygen reservoir. For 32 infants requiring blow-by-oxygen, 28 (87.5%) could reach the targeted SpO(2) . No significant differences in clinical outcomes were observed between responders and non-responders. Conclusions:  The technique of less than 100% oxygen supplementation used in this study was effective for preterm newborn resuscitation with a high success rate. This technique may be useful for a limited-resource setting. © 2012 The Authors. Pediatrics International © 2012 Japan Pediatric Society.
Authors:
Pracha Nuntnarumit; Piyawan Phummaphuti; Archara Tangnoo
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-6-21
Journal Detail:
Title:  Pediatrics international : official journal of the Japan Pediatric Society     Volume:  -     ISSN:  1442-200X     ISO Abbreviation:  -     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-6-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100886002     Medline TA:  Pediatr Int     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors. Pediatrics International © 2012 Japan Pediatric Society.
Affiliation:
Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand, 10400.
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