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Comparing the effect of two different interfaces on breathing of preterm infants at birth: A matched-pairs analysis

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F20%3A10425190" target="_blank" >RIV/00216208:11110/20:10425190 - isvavai.cz</a>

  • Alternative codes found

    RIV/00064165:_____/20:10425190

  • Result on the web

    <a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=NDgXU5Ys9n" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=NDgXU5Ys9n</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1016/j.resuscitation.2020.10.004" target="_blank" >10.1016/j.resuscitation.2020.10.004</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Comparing the effect of two different interfaces on breathing of preterm infants at birth: A matched-pairs analysis

  • Original language description

    Objective: Applying a face mask could provoke a trigeminocardiac reflex. We compared the effect of applying bi-nasal prongs with a face mask on breathing and heart rate of preterm infants at birth. Methods: In a retrospective matched-pairs study of infants &lt;32 weeks of gestation, the use of bi-nasal prongs for respiratory support at birth was compared to the use of a face mask. Infants who were initially breathing at birth and subsequently received respiratory support were matched for gestational age (4 days), birth weight (300 g), general anaesthesia and gender. Breathing, heart rate and other parameters were collected before and after interface application and in the first 5 min thereafter. Results: In total, 130 infants were included (n = 65 bi-nasal prongs, n = 65 face mask) with a median (IQR) gestational age of 27(+2) (25(+3)-28(+4)) vs 26(+6) (25(+3)-28(+5)) weeks. The proportion of infants who stopped breathing after applying the interface was not different between the groups (bi-nasal prongs 43/65 (66%) vs face mask 46/65 (71%), p = 0.70). Positive pressure ventilation was given more often when bi-nasal prongs were used (55/65 (85%) vs 40/65 (62%), p &lt; 0.001). Heart rate (101 (75-145) vs 110 (68-149) bpm, p = 0.496) and oxygen saturation (59% (48-87) vs 56% (35-84), p = 0.178) were similar in the first 5 min after an interface was applied in the infants who stopped breathing. Conclusion: Apnoea and bradycardia occurred often after applying either bi-nasal prongs or a face mask on the face for respiratory support in preterm infants at birth.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30214 - Obstetrics and gynaecology

Result continuities

  • Project

  • Continuities

    V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Others

  • Publication year

    2020

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Resuscitation

  • ISSN

    0300-9572

  • e-ISSN

  • Volume of the periodical

    157

  • Issue of the periodical within the volume

    December

  • Country of publishing house

    IE - IRELAND

  • Number of pages

    7

  • Pages from-to

    60-66

  • UT code for WoS article

    000603700700019

  • EID of the result in the Scopus database

    2-s2.0-85094814844