Survey of neonatal respiratory support use in very preterm infants in Italy

Giovanni Corsello, Mario Giuffre, Carlo Corchia, Roberto Bellù, Rinaldo Zanini, Paolo Tagliabue, Fabio Mosca, Luigi Gagliardi

Risultato della ricerca: Article

4 Citazioni (Scopus)

Abstract

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 tech- niques studied. The survey of centres showed that all respondents considered non-invasive ventilation the first-intention treat- ment 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 imple- menting “potentially better practices” with the aim of reducing unwanted, physician-related variation.
Lingua originaleEnglish
pagine (da-a)1-5
Numero di pagine5
RivistaTHE JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
Volume25
Stato di pubblicazionePublished - 2012

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Premature Infants
Italy
Birth Weight
Intermittent Positive-Pressure Ventilation
Pregnancy
High-Frequency Ventilation
Noninvasive Ventilation
Artificial Respiration
Surface-Active Agents
Ventilation
Surveys and Questionnaires
Physicians
Therapeutics

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynaecology

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Survey of neonatal respiratory support use in very preterm infants in Italy. / Corsello, Giovanni; Giuffre, Mario; Corchia, Carlo; Bellù, Roberto; Zanini, Rinaldo; Tagliabue, Paolo; Mosca, Fabio; Gagliardi, Luigi.

In: THE JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, Vol. 25, 2012, pag. 1-5.

Risultato della ricerca: Article

Corsello, G, Giuffre, M, Corchia, C, Bellù, R, Zanini, R, Tagliabue, P, Mosca, F & Gagliardi, L 2012, 'Survey of neonatal respiratory support use in very preterm infants in Italy', THE JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE, vol. 25, pagg. 1-5.
Corsello, Giovanni ; Giuffre, Mario ; Corchia, Carlo ; Bellù, Roberto ; Zanini, Rinaldo ; Tagliabue, Paolo ; Mosca, Fabio ; Gagliardi, Luigi. / Survey of neonatal respiratory support use in very preterm infants in Italy. In: THE JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE. 2012 ; Vol. 25. pagg. 1-5.
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abstract = "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 tech- niques studied. The survey of centres showed that all respondents considered non-invasive ventilation the first-intention treat- ment 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 imple- menting “potentially better practices” with the aim of reducing unwanted, physician-related variation.",
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T1 - Survey of neonatal respiratory support use in very preterm infants in Italy

AU - Corsello, Giovanni

AU - Giuffre, Mario

AU - Corchia, Carlo

AU - Bellù, Roberto

AU - Zanini, Rinaldo

AU - Tagliabue, Paolo

AU - Mosca, Fabio

AU - Gagliardi, Luigi

PY - 2012

Y1 - 2012

N2 - 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 tech- niques studied. The survey of centres showed that all respondents considered non-invasive ventilation the first-intention treat- ment 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 imple- menting “potentially better practices” with the aim of reducing unwanted, physician-related variation.

AB - 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 tech- niques studied. The survey of centres showed that all respondents considered non-invasive ventilation the first-intention treat- ment 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 imple- menting “potentially better practices” with the aim of reducing unwanted, physician-related variation.

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