Delivery room management of ELBW infants in Italy

Delivery room management of ELBW infants in Italy

Authors

  • Francesca Rech Morassutti Children and Women’s Health Department, Medical School University of Padua Azienda, Padua, Italy
  • Irene Satariano Children and Women’s Health Department, Medical School University of Padua Azienda, Padua, Italy
  • Nicoletta Doglioni Children and Women’s Health Department, Medical School University of Padua Azienda, Padua, Italy
  • Giulio Criscoli Italian Army - Signals and Information Technology HQ - C4 Systems Integration Development, Treviso, Italy
  • Francesco Cavallin Independent Statistician, Padua, Italy
  • Camilla Gizzi Neonatal Intensive Care Unit Pediatric, Neonatal Department ‘S.Giovanni Calibita’, Fatebenefratelli Hospital, Rome, Italy
  • Claudio Martano Neonatal Intensive Care Unit, Pediatric Department, Medical School University of Turin, Azienda Ospedaliera OIRM-S, Torino, Italy
  • Fabrizio Ciralli Neonatal Intensive Care Unit, Department of Mother and Infant Science Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
  • Flaminia Torielli Neonatology Unit, University of Genova, Azienda Ospedaliera San Martino IRCCS – IST National Institute on Cancer Research, Genova, Italy
  • Paolo E. Villani Neonatal Intensive Care Unit, Maternal and Pediatric Department, Carlo Poma Hospital, Mantova, Italy
  • Sandra Di Fabio Neonatal Intensive Care Unit, Department of Mother and Infant Science, ‘San Salvatore’ Hospital, L’Aquila, Italy
  • Lorenzo Quartulli Neonatology Unit, ‘A. Perrino’ Hospital, Brindisi, Italy
  • Luigi Giannini Pediatric Department, Medical School University ‘La Sapienza’ Rome Azienda Ospedaliera Policlinico Umberto, Rome, Italy
  • Daniele Trevisanuto Children and Women’s Health Department, Medical School University of Padua Azienda, Padua, Italy;
  • On Behalf of Neonatal Resuscitation Study Group, Italian Society of Neonatology

Keywords:

delivery room, ELBW, infants

Abstract

In this article we evaluated the consistency of practice and the adherence to the International Guidelines in early delivery room management of ELBW infants in Italy. A polyethylene bag/wrap was used by 54 centres (55.1%). In Northern regions, one centre (2.5%) reported to use oxygen concentrations >40% to initiate positive pressure ventilation in ELBW infants. These proportions were higher in the Central (14.3%) and Southern (16.2%) areas. A T-piece device for positive pressure ventilation was widely used (77/97, 79.4%). A median of 13% (IQR: 5%–30%) of ELBW infants received chest compressions at birth in Italy. Forty-seven out of 98 (47.9%) centres declared to administer prophylactic surfactant in delivery room. Although there were geographic differences in the country, our results showed a good general adherence to the International Guidelines for Neonatal Resuscitation.

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Published

29-06-2015

How to Cite

1.
Delivery room management of ELBW infants in Italy. Acta Biomed [Internet]. 2015 Jun. 29 [cited 2024 Apr. 14];86(1S):7-10. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/4536