Survey of neonatal resuscitation practices showed post-training improvements but need to reinforce preterm management, monitoring and adrenaline use
Por:
Izquierdo-Renau M, Iriondo-Sanz M, Ruiz C, Zeballos G, Sánchez M, Gonzalez E, Vento M and Thió M
Publicada:
1 jun 2017
Ahead of Print:
19 mar 2017
Resumen:
Aim: Neonatal resuscitation surveys have showed practice variations between countries, centres and levels of care. We evaluated delivery room practices after a nationwide neonatal resuscitation training programme focused on nontertiary centres.
Methods: A 2012 survey sent to all Spanish hospitals handling deliveries covered staff availability and training, equipment and practices in the delivery room and during transfers to neonatal intensive care units. The results from 98 centres that had completed a previous survey in 2007 were analysed by levels of care. Pearson's chi-square test was used to compare the proportions.
Results: The following had significantly improved in 2012 compared to 2007: the availability of T-piece resuscitators (71.4% vs. 41.8%), plastic wraps (69.4% vs. 31.6%), gas blenders (79.6% vs. 40.8%), pulse oximetry (92.9% vs. 61.2%), use of continuous positive airway pressure (82.7% vs. 43.9%) (all p < 0.01), the availability of instructors (55.6% vs. 83.3%, p < 0.05) and neonatal resuscitation courses (40.8% vs. 79.6%, p < 0.05) in nontertiary centres. In 2012, the use of exhaled carbon dioxide detectors was < 7% and endotracheal administration of adrenaline was >90%.
Conclusion: Neonatal resuscitation equipment and practices improved over time, but several aspects needed to be reinforced in training programmes, namely preterm infants' management, monitoring and adrenaline administration.
Filiaciones:
Izquierdo-Renau M:
Division of Neonatology, BCNatal Hospital Sant Joan de Déu-Hospital Clínic, Passeig de Sant Joan 2, 08950, Esplugues de Llobregat (Barcelona), Spain
Maternal and Infant Health and Development Research Network SAMID (RD 12/0026/0002), Health Research Institute Carlos III
Spanish Ministry of Economy and Competitiveness
Iriondo-Sanz M:
Division of Neonatology, BCNatal Hospital Sant Joan de Déu-Hospital Clínic, Passeig de Sant Joan 2, 08950, Esplugues de Llobregat (Barcelona), Spain
Maternal and Infant Health and Development Research Network SAMID (RD 12/0026/0002), Health Research Institute Carlos III
Spanish Ministry of Economy and Competitiveness
Ruiz C:
Maternal and Infant Health and Development Research Network SAMID (RD 12/0026/0002), Health Research Institute Carlos III
Spanish Ministry of Economy and Competitiveness
Division of Neonatology, Hospital del Vall d'Hebrón, Passeig de la Vall d'Hebron 119-129, 08035, Barcelona, Spain
Zeballos G:
Division of Neonatology, Hospital General Universitario Gregorio Marañón, Dr. Esquerdo 46, 28007, Madrid, Spain
Health Research Institute Gregorio Marañón (IiSGM)
CIBEREHD, Madrid, Spain
Sánchez M:
Division of Neonatology, Hospital Puerta del Hierro, Manuel de Falla 1, 28222, Majadahonda (Madrid), Spain
Gonzalez E:
Division of Neonatology, Hospital Alvaro Cunqueiro, Estrada Clara Campoamor 341, Beade (Pontevedra), Spain
Biomedical Research Institute University of Santiago de Compostela
Vento M:
Division of Neonatology, Hospital Universitario y Politécnico La Fe, Avenida Fernando Abril Martorell 106, 46026, Valencia, Spain
National Coordinator of the Maternal and Infant Health and Development Research Network SAMID (RD0012/0026), Health Research Institute Carlos III
Spanish Ministry of Economy and Competitiveness
Thió M:
Department of Newborn Research, Royal Women's Hospital, Melbourne, Australia
University of Melbourne, Melbourne, Australia
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