Tidal volume measurements in the delivery room in preterm infants requiring positive pressure ventilation via endotracheal tube-feasibility study

Objective Current delivery room (DR) resuscitation utilizes pressure-limited devices without tidal volume (TV) measurements. Clinicians use chest expansion as a surrogate, which is a poor indicator of TV. TV in early life can be highly variable due to rapidly changing lung compliance. Our objectives...

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Bibliographic Details
Published in:Journal of perinatology 2021-08, Vol.41 (8), p.1930-1935
Main Authors: Vaidya, Ruben, Visintainer, Paul, Singh, Rachana
Format: Article
Language:English
Subjects:
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Bronchopulmonary dysplasia
Care and treatment
Delivery Rooms
Feasibility Studies
Female
Humans
Infant
Infant, Newborn
Infant, Premature
Infants
Infants (Premature)
Intubation
Intubation, Intratracheal
Mechanical ventilation
Medicine
Medicine & Public Health
Patient outcomes
Pediatric Surgery
Pediatrics
Positive pressure respiration
Pregnancy
Premature babies
Prospective Studies
Pulmonary function tests
Respiratory function
Resuscitation
Risk factors
Tidal Volume
Trachea
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Summary:Objective Current delivery room (DR) resuscitation utilizes pressure-limited devices without tidal volume (TV) measurements. Clinicians use chest expansion as a surrogate, which is a poor indicator of TV. TV in early life can be highly variable due to rapidly changing lung compliance. Our objectives were to assess feasibility of measuring TV in DR, and to report the generated TV in intubated patients. Study design Prospective, observational, feasibility study in infants 6 ml/kg) provided 47.7% of times. Conclusion TV measurement in DR is feasible. It is associated with high intra and inter-patient variability.
ISSN:0743-8346
1476-5543
DOI:10.1038/s41372-021-01113-7