Premium
Survey of delivery room resuscitation practices at tertiary perinatal centers in J apan
Author(s) -
Hosono Shigeharu,
Tamura Masanori,
Kunikata Tetsuya,
Wada Masaki,
Kusakawa Isao,
Ibara Satoshi
Publication year - 2015
Publication title -
pediatrics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.49
H-Index - 63
eISSN - 1442-200X
pISSN - 1328-8067
DOI - 10.1111/ped.12496
Subject(s) - medicine , neonatal resuscitation , resuscitation , intubation , airway , anesthesia , oxygen delivery , emergency medicine , medical emergency , oxygen , chemistry , organic chemistry
Background The aim of this study was to determine the current neonatal resuscitation practices for term infants in J apan, immediately before the 2010 publication of the international neonatal resuscitation consensus. Methods In J anuary 2010, a 26‐question survey was mailed to neonatal department directors. Results A total of 287 neonatal departments were identified. Four surveys were returned as undeliverable. A total of 191 surveys were returned completed, but four departments had no labor and delivery rooms (66.6% response rate, 65.2% survey available response rate). Flow‐inflating bags were most commonly used (63.2%), followed by self‐inflating bags (35.8%), and T ‐piece resuscitators (1.0%). Among the participants, 42.1% used oxygen blenders, 56.2% used pure oxygen for initial resuscitation, and 79.5% used a pulse oximeter to change the fraction of inspired oxygen. Among the participants, 45.3% used carbon dioxide detectors to confirm intubation, 42.5% routinely used the detectors, and 55.2% used them when confirming a difficult intubation. In addition, 42.5% of the participants used continuous positive airway pressure to treat breathing problems, most commonly with flow‐inflating bags (93.2%). Conclusions The equipment and techniques used in J apanese perinatal center delivery room resuscitation practices are highly varied. Further research is required to determine which devices and techniques are appropriate for this important and common intervention.