Resuscitation practices based on the level care provided by the hospital
SCU (N=41) | LNU (N=81) | NICU (N=58) | |
---|---|---|---|
Positive pressure ventilation | |||
Equipment | |||
T-piece with PEEP | 37 (90.2%) | 66 (81.5%) | 52 (89.7%) |
SIB with PEEP valve | 2 (4.9%) | 6 (7.4%) | 3 (5.2%) |
SIB without PEEP valve | 2 (4.9%) | 9 (11.1%) | 3 (5.2%) |
Maximum PIP (cm H2O) used for term born infants | |||
25–30 | 27 (65.9%) | 71 (87.7%) | 50 (86.2%) |
20–24 | 12 (29.3%) | 9 (11.1%) | 5 (8.6%) |
15–19 | 1 (2.4%) | 1 (1.2%) | 1 (1.7%) |
No data | 1 (2.4%) | 0 (0%) | 2 (3.4%) |
Maximum PIP (cm H2O) used for prematurely born infants | |||
25–30 | 5 (12.2%) | 5 (6.2%) | 3 (5.2%) |
20–24 | 30 (73.2%) | 69 (85.2%) | 51 (87.9%) |
15–19 | 4 (9.8%) | 1 (1.2%) | 2 (3.4%) |
No data | 2 (4.9%) | 6 (7.4%) | 2 (3.4%) |
Set PEEP (cm H2O) for term born infants | |||
No PEEP | 8 (19.5%) | 13 (16%) | 3 (5.2%) |
2–3 | 2 (4.9%) | 3 (3.7%) | 1 (1.7%) |
4–5 | 27 (65.9%) | 63 (77.8%) | 48 (82.8%) |
6–8 | 1 (2.4%) | 0 (0%) | 4 (6.9%) |
No data | 3 (7.3%) | 2 (2.5%) | 2 (3.4%) |
Set PEEP (cm H2O) for preterm infants | |||
No PEEP | 8 (19.5%) | 10 (12.3%) | 1 (1.7%) |
2–3 | 2 (4.9%) | 4 (4.9%) | 1 (1.7%) |
4–5 | 26 (63.4%) | 63 (77.8%) | 50 (86.2%) |
6–8 | 2 (4.9%) | 0 (0%) | 4 (6.9%) |
No data | 3 (7.3%) | 4 (4.9%) | 2 (3.4%) |
Oxygen blender used | 23 (56.1%) | 55 (67.9%) | 51 (87.9%) |
Initial set FiO2 for resuscitation of term infant | |||
0.21 | 13 (31.7%) | 32 (39.5%) | 49 (84.5%) |
0.3–0.5 | 6 (14.6%) | 13 (16%) | 4 (6.9%) |
1 | 2 (4.9%) | 6 (7.4%) | 0 (0%) |
No data | 20 (48.8%) | 30 (37%) | 5 (8.6%) |
Initial set FiO2 for resuscitation of preterm infant | |||
0.21 | 10 (24.4%) | 18 (22.2%) | 25 (43.1%) |
0.3–0.5 | 10 (24.4%) | 31 (38.3%) | 27 (46.6%) |
1 | 1 (2.4%) | 3 (3.7%) | 1 (1.7%) |
No data | 20 (48.8%) | 29 (35.8%) | 5 (8.6%) |
Oxygen saturation monitoring (term infant) | 14 (34.1%) | 33 (40.7%) | 24 (41.4%) |
Oxygen saturation monitoring(preterm infant) | 17 (41.5%) | 53 (65.4%) | 41 (70.7%) |
Temperature monitoring | 13 (31.7%) | 17 (21%) | 7 (12.1%) |
CO2 detectors | 4 (9.8%) | 16 (19.8%) | 14 (24.1%) |
Polythene bag for preterm<28 week gestation | 38 (92.7%) | 77 (95.1%) | 56 (96.6%) |
Adrenaline in less than 24 week gestation | 5 (12.2%) | 3 (3.7%) | 6 (10.3%) |
Adrenaline in 25–28 week gestation | 25 (61%) | 58 (71.6%) | 43 (74.1%) |
Sodium bicarbonate (in all infants) | 17 (41.5%) | 46 (56.8%) | 27 (46.6%) |
LNU, local neonatal unit; NICU, neonatal intensive care unit; PEEP, positive end expiratory pressure; PIP, peak inflating pressure; SCU, special care units; SIB, self-inflating bag