• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Pediatrics

Postresuscitation care may be needed regardless of PPV duration

byJames GrayandLeah Carr, MD
September 29, 2014
in Pediatrics
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

1. Among infants born at > 35 weeks, the majority of neonates studied required postresuscitation care (PRC) including ventilator support, parenteral nutrition, or prolonged intensive care stay regardless of short (< 1 min) or prolonged (≥ 1 min) positive pressure ventilation (PPV) at birth.

2. Placental abruption, preterm and small for gestation age (SGA) infants, low 5-minute APGAR scores, longer PPV duration, and need for intubation were associated with PRC requirements.

Evidence Rating Level: 2 (Good)           

Study Rundown: While the Neonatal Resuscitation Program (NRP) educational curriculum teaches appropriate newborn resuscitation methods, NRP guidelines do not differentiate between neonates requiring short periods of positive pressure ventilation (PPV) at birth and those requiring more extensive PPV in directing PRC. PRC includes assisted ventilation, central venous line placement for medication administration, parenteral nutrition, and intensive care stays. This study retrospectively examined the potential association between PPV duration and requirement for PRC. Regardless of length of PPV, neonates had similar needs for ≥ 1 day of intensive care. Neonates requiring short (< 1 min) PPV were significantly more likely to need ≥ 1 day of intensive care, assisted ventilation, or parenteral nutrition when compared to those requiring no PPV. Furthermore, neonates needing longer PPV (≥ 1 min) required similar PRC interventions when compared to neonates requiring short PPV. The authors were able to identify multiple patient and delivery-specific risk factors for PRC need. It is unclear how generalizable these results are, as this was a single-center study in a tertiary care facility that could not control for variability among provider preference for intensive care admission and intervention. However, the large cohort and strong study design add strength to the conclusion that neonates requiring any PPV should be considered for PRC.

Click to read the study, published today in Pediatrics

Relevant Reading: Post-resuscitation complications in term neonates (Nature)

In-Depth [retrospective cohort study]: This study examined a cohort of 87 464 neonates born between 1994 and 2013 at a gestational age ≥ 35 weeks in a major tertiary referral center in Nova Scotia. A neonate was considered to have received “short” positive pressure ventilation (PPV) if it was < 1 minute in duration (N = 1429) and “prolonged” if it was administered for ≥1 minute in duration (N = 1876). When compared to infants requiring no PPV (N = 83 806), those receiving short PPV were more likely to need NICU stays ≥ 1 day (OR 18.7, CI: 16.8-20.7), assisted ventilation (OR 13, CI: 10.1-16.6) and parenteral nutrition (OR 6.1, CI: 4-9.3). Those receiving prolonged PPV were more likely than those receiving short PPV to require assisted ventilation (OR 3.3, CI: 2.5-4.2) and parenteral nutrition (OR 2.9, CI: 1.9-4.4). NICU stay was significantly longer in the prolonged PPV group when compared to the short PPV group (4.9 days and 3.4 days, respectively, P < 0.0001). To address the influence of changing clinical care, the authors examined 2 time periods (1993-2003 and 2004-2013), both of which were following the introduction of NRP. There were no significant differences in outcomes between these time periods. In addition, multiple regression analysis indicated that placental abruption, assisted vaginal/cesarean delivery, SGA infants, preterm birth, longer PPV duration, intubation at birth and low 5-minute APGARS (< 3) were independent predictors of the need for PRC. Specific statistics related to the regression analysis were not included in the published study content.

RELATED REPORTS

Diagnostic tool may help identify cerebral palsy regardless of encephalopathy features

Post-operative exclusive human milk diet improves growth in neonates with single ventricle physiology

Double embryo transfer may be associated with neonatal risks

More from this author: Childhood ADHD, stimulant treatment not linked with height, Healthcare-associated infections falling among critically ill children

Image: PD

©2012-2014 2minutemedicine.com. All rights reserved. No works may be reproduced without expressed written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors, editors, staff or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT. 

Tags: neonatal resuscitationneonatologypositive pressure ventilation
Previous Post

AAP policy update recommends first-line contraceptives, addresses special populations

Next Post

Continuous albuterol thought to be safe in floor setting

RelatedReports

“No Evidence of Disease Activity” may be useful goal in multiple sclerosis
Chronic Disease

Diagnostic tool may help identify cerebral palsy regardless of encephalopathy features

January 26, 2023
Cardiology

Post-operative exclusive human milk diet improves growth in neonates with single ventricle physiology

December 20, 2022
Assisted conception not associated with increased pediatric cancer risk
Endocrinology

Double embryo transfer may be associated with neonatal risks

December 19, 2022
Combined MRI and NIH stroke scores may predict stroke prognosis
Chronic Disease

Maternal unintentional injury during pregnancy associated with higher risk of cerebral palsy

December 9, 2022
Next Post
Dexamethasone shows comparable efficacy to prednisone/prednisolone in pediatric asthma

Continuous albuterol thought to be safe in floor setting

Intravenous contrast may not increase risk of acute kidney injury

Fenoldopam ineffective for renal injury after cardiac surgery

Mediterranean diet linked to reduced diabetes risk in high risk cardiovascular patients

Percutaneous intervention outcomes for STEMI similar for women and men

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Similar perinatal outcomes observed amongst conception via natural and assisted reproductive means
  • Combination doxycycline and azithromycin therapy effective in treating severe scrub typhus
  • Adenoma detection rate is inversely associated with post-colonoscopy colorectal cancer risk
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • The Scan
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

Want more physician-written
medical news?

Join over 10 million yearly readers and numerous companies. For healthcare professionals
and the public.

Subscribe for free today!

Subscription options