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Archives of Disease in Childhood - Fetal and Neonatal Edition 2004;89:F494-F496; doi:10.1136/adc.2003.033340
Copyright © 2004 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Archives of Disease in Childhood Fetal and Neonatal Edition 2004;89:F494-F496
© 2004 Archives of Disease in Childhood Fetal and Neonatal Edition

SHORT REPORT

A randomised comparison of resuscitation with an anaesthetic rebreathing circuit or an infant ventilator in very preterm infants

J Menakaya1, C Andersen1, D Chirla1, R Wolfe2, A Watkins1

1 Department of Paediatrics, Mercy Hospital for Women, Melbourne, Australia
2 Department of Epidemiology and Preventive Medicine, Monash Medical School, Melbourne

Correspondence to:
Correspondence to:
Dr Andersen
Department of Paediatrics, Mercy Hospital for Women, Clarendon St, East Melbourne, Victoria 3002, Australia; candersen{at}mercy.com.au

ABSTRACT

Twenty four preterm infants (< 27 weeks gestation) were randomised to resuscitation with an anaesthetic rebreathing circuit or a ventilator with volume guarantee. There was no difference in weight or gestation between the groups. End expiratory pressures were higher and less variable with the ventilator. This pilot study shows that very preterm infants can be safely and effectively resuscitated using a ventilator.

Abbreviations: CRIB, clinical risk index for babies; DB, Dräger Babylog 8000plus; eVt, expiratory tidal volume; GA, gestational age; PEEP, positive end expiratory pressure; PIP, peak inspiratory pressure; SC, standard anaesthetic rebreathing circuit

Keywords: resuscitation; ventilator; mechanical; randomised trial; preterm


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