T-piece versus self inflating bag for resuscitation of VLBW infants

In a prospective multi-center observational study from Brazil of almost 2000 infants with a birth weight less than 1500 grams, compared to infants who received positive pressure at birth with a self-inflating bag (with no PEEP valve), those who received positive pressure at birth with a T-piece resuscitator had higher survival to hospital discharge without major morbidities (47 vs 35%). The use of the T-piece resuscitator increased the chance of survival to hospital discharge without major morbidities (OR=1.38) on logistic regression analysis as well. Use of each device was at the discretion of the clinician (and not randomized).

T-piece versus self-inflating bag ventilation in preterm neonates at birth. Guinsburg et al, 2017.

Post navigation