A simple method of less than 100% oxygen resuscitation for preterm infants
Pediatrics International, 06/25/2012
Nuntnarumit P et al. – 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.
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 SpO2 < 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 SpO2 < 80% at 5 min.
- 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 SpO2. No significant differences in clinical outcomes were observed between responders and non-responders.
