Neonatal respiratory support strategies in the intensive care unit: an Italian survey.
Eur J Pediatr
; 172(3): 331-6, 2013 Mar.
Article
en En
| MEDLINE
| ID: mdl-23149632
ABSTRACT
We carried out a survey of current practices of neonatal respiratory support in neonatal intensive care units (NICUs) in Italy with the aim of comparing the current reality with evidence from the literature. We sent a questionnaire by email to the 103 level III neonatal units in Italy. There was a 61 % (73/120) response rate to the questionnaire. We found that synchronized intermittent positive pressure ventilation is mostly used in infants in the acute phase of respiratory distress syndrome (RDS), while the majority of the units prefer volume-targeted ventilation for those in the weaning phase. Nasal continuous positive airway pressure is the most commonly used non-invasive mode of respiratory support, both in the acute and post-extubation phase of RDS. Surfactant is mainly given as rescue treatment. Infants receive caffeine before extubation and analgesia under mechanical ventilation, while post-natal steroids are given after the first week of life in the majority of the units. In conclusion, respiratory support strategies in Italian NICUs are frequently evidence-based. However, since there are areas where this does not occur, we suggest that focused interventions take place on these areas to help improve clinical practice and increase their adherence to evidence-based medical criteria.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Síndrome de Dificultad Respiratoria del Recién Nacido
/
Terapia Respiratoria
/
Pautas de la Práctica en Medicina
/
Cuidado Intensivo Neonatal
/
Adhesión a Directriz
Tipo de estudio:
Guideline
/
Prognostic_studies
Límite:
Humans
/
Newborn
País como asunto:
Europa
Idioma:
En
Año:
2013
Tipo del documento:
Article