Neonatal Resuscitation Using a Nasal Cannula: A Single-Center Experience

Pedro Paz; Rangasamy Ramanathan; Richard Hernandez; Manoj Biniwale

doi:10.1055/s-0034-1370350

American Journal of Perinatology, Table of Contents

Am J Perinatol 2014; 31(12): 1031-1036
DOI: 10.1055/s-0034-1370350

Original Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Neonatal Resuscitation Using a Nasal Cannula: A Single-Center Experience

Authors

Pedro Paz

¹Division of Neonatal Medicine, LAC + USC Medical Center, Children's Hospital Los Angeles, Keck School of Medicine of the University of Southern California, Los Angeles, California
Rangasamy Ramanathan

¹Division of Neonatal Medicine, LAC + USC Medical Center, Children's Hospital Los Angeles, Keck School of Medicine of the University of Southern California, Los Angeles, California

²Neonatal Respiratory Therapy Department, LAC + USC Medical Center, Los Angeles, California
Richard Hernandez

²Neonatal Respiratory Therapy Department, LAC + USC Medical Center, Los Angeles, California
Manoj Biniwale

¹Division of Neonatal Medicine, LAC + USC Medical Center, Children's Hospital Los Angeles, Keck School of Medicine of the University of Southern California, Los Angeles, California

Abstract

Objective The aim of the study was to describe our experience using a modified nasal cannula to deliver nasal continuous positive airway pressure and/or nasal intermittent positive pressure ventilation during primary neonatal resuscitation of preterm and term newborns.

Study Design Data were collected retrospectively for all neonates resuscitated with nasal cannula in the delivery room. The primary outcome was the number of newborns intubated in the delivery room. Secondary outcomes included need for chest compressions, intubations in the first 24 hours, air-leaks, and surfactant administration.

Results A total of 102 infants were resuscitated using nasal cannula. Eight (7.8%) were intubated in the delivery room, five (4.9%) required chest compressions, and five (4.9%) had pneumothorax noted on chest X-ray. No deaths occurred in the delivery room. Twenty-eight patients (27.5%) received early rescue surfactant after admission to the neonatal intensive care unit.

Conclusion Neonatal resuscitation can be effectively performed in preterm and term newborns using a modified nasal cannula in the delivery room.

Keywords

neonatal resuscitation - nasal cannula - preterm - NCPAP - NIPPV

Full Text

References

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