Positive Pressure Ventilation in Preterm Infants in the Delivery Room: A Review of Current Practices, Challenges, and Emerging Technologies
Neonatology. 2024 Mar 11:1-10. doi: 10.1159/000537800. Online ahead of print.ABSTRACTBACKGROUND: A major proportion of preterm neonates require positive pressure ventilation (PPV) immediately after delivery. PPV may be administered through a face mask (FM) or nasal prongs. Current literature indicates that either of these are associated with similar outcomes.SUMMARY: Nonetheless, FM remains the most utilized and the best choice. However, most available FM sizes are too large for extremely preterm infants, which leads to mask leak and ineffective PPV. Challenges to providing effective PPV include poor respiratory drive, com...
Source: Neonatology - March 11, 2024 Category: Perinatology & Neonatology Authors: Shivashankar Diggikar Viraraghavan V Ramaswamy Jenny Koo Arun Prasath Georg M Schm ölzer Source Type: research

The Incidence of Necrotizing Enterocolitis and Late-Onset Sepsis during the COVID-19 Pandemic in Sweden: A Population-Based Cohort Study
CONCLUSION: While we found significant reduction in the incidence of NEC and culture-positive late-onset sepsis during the COVID-19 pandemic, the number of extremely preterm births was unchanged.PMID:38442693 | DOI:10.1159/000536570 (Source: Neonatology)
Source: Neonatology - March 5, 2024 Category: Perinatology & Neonatology Authors: Elena Palleri Anna Svenningsson Laszlo Markasz Helene Engstrand Lilja Source Type: research

The Incidence of Necrotizing Enterocolitis and Late-Onset Sepsis during the COVID-19 Pandemic in Sweden: A Population-Based Cohort Study
CONCLUSION: While we found significant reduction in the incidence of NEC and culture-positive late-onset sepsis during the COVID-19 pandemic, the number of extremely preterm births was unchanged.PMID:38442693 | DOI:10.1159/000536570 (Source: Neonatology)
Source: Neonatology - March 5, 2024 Category: Perinatology & Neonatology Authors: Elena Palleri Anna Svenningsson Laszlo Markasz Helene Engstrand Lilja Source Type: research

The Incidence of Necrotizing Enterocolitis and Late-Onset Sepsis during the COVID-19 Pandemic in Sweden: A Population-Based Cohort Study
CONCLUSION: While we found significant reduction in the incidence of NEC and culture-positive late-onset sepsis during the COVID-19 pandemic, the number of extremely preterm births was unchanged.PMID:38442693 | DOI:10.1159/000536570 (Source: Neonatology)
Source: Neonatology - March 5, 2024 Category: Perinatology & Neonatology Authors: Elena Palleri Anna Svenningsson Laszlo Markasz Helene Engstrand Lilja Source Type: research

The Incidence of Necrotizing Enterocolitis and Late-Onset Sepsis during the COVID-19 Pandemic in Sweden: A Population-Based Cohort Study
CONCLUSION: While we found significant reduction in the incidence of NEC and culture-positive late-onset sepsis during the COVID-19 pandemic, the number of extremely preterm births was unchanged.PMID:38442693 | DOI:10.1159/000536570 (Source: Neonatology)
Source: Neonatology - March 5, 2024 Category: Perinatology & Neonatology Authors: Elena Palleri Anna Svenningsson Laszlo Markasz Helene Engstrand Lilja Source Type: research

The Incidence of Necrotizing Enterocolitis and Late-Onset Sepsis during the COVID-19 Pandemic in Sweden: A Population-Based Cohort Study
CONCLUSION: While we found significant reduction in the incidence of NEC and culture-positive late-onset sepsis during the COVID-19 pandemic, the number of extremely preterm births was unchanged.PMID:38442693 | DOI:10.1159/000536570 (Source: Neonatology)
Source: Neonatology - March 5, 2024 Category: Perinatology & Neonatology Authors: Elena Palleri Anna Svenningsson Laszlo Markasz Helene Engstrand Lilja Source Type: research

Association between Intermittent Hypoxemia and NICU Length of Stay in Preterm Infants
CONCLUSIONS: Physiological instability on days 7-30 of age, as manifested by IH, is significantly associated with prolonged hospitalization. IH likely represents both a marker of initial severity of illness and the beginning of biological cascades, leading to prematurity-associated morbidities.PMID:38437802 | DOI:10.1159/000535264 (Source: Neonatology)
Source: Neonatology - March 4, 2024 Category: Perinatology & Neonatology Authors: Anna Maria Hibbs Zhengyi Chen Nori M Minich Richard J Martin Thomas M Raffay Peter M MacFarlane Juliann M Di Fiore Source Type: research

Association between Intermittent Hypoxemia and NICU Length of Stay in Preterm Infants
CONCLUSIONS: Physiological instability on days 7-30 of age, as manifested by IH, is significantly associated with prolonged hospitalization. IH likely represents both a marker of initial severity of illness and the beginning of biological cascades, leading to prematurity-associated morbidities.PMID:38437802 | DOI:10.1159/000535264 (Source: Neonatology)
Source: Neonatology - March 4, 2024 Category: Perinatology & Neonatology Authors: Anna Maria Hibbs Zhengyi Chen Nori M Minich Richard J Martin Thomas M Raffay Peter M MacFarlane Juliann M Di Fiore Source Type: research

For Exposed and Deserted Young Children: Research at the London Foundling Hospital
Neonatology. 2024 Mar 1:1-8. doi: 10.1159/000536421. Online ahead of print.ABSTRACTBACKGROUND: Little is known about research in Foundling Hospitals during the 18th century.SUMMARY: The London "Hospital for the Maintenance and Education of Exposed and Deserted Young Children" opened in 1741, after fundraising by the former shipmaster Thomas Coram and a Charter by King George II. From 1741 to 1756, fewer than 100 infants a year were admitted by lot. With onset of the Seven Years' War in 1756, the House of Commons resolved and financed the admission of all deserted babies. The number of admitted babies rose to 4,000 per year...
Source: Neonatology - March 3, 2024 Category: Perinatology & Neonatology Authors: Michael Obladen Source Type: research

High Flow Nasal Cannula for Weaning Nasal Continuous Positive Airway Pressure in Preterm Infants: A Systematic Review and Meta-Analysis
CONCLUSION: Low certainty of evidence suggests using HFNC for weaning CPAP in preterm infants may not impact the duration of respiratory support. Caution is advised when considering HFNC for weaning CPAP, especially in extremely preterm infants, until additional supportive evidence on its safety becomes available.PMID:38412846 | DOI:10.1159/000536464 (Source: Neonatology)
Source: Neonatology - February 27, 2024 Category: Perinatology & Neonatology Authors: Yasser Balhareth Abdul Razak Source Type: research

High Flow Nasal Cannula for Weaning Nasal Continuous Positive Airway Pressure in Preterm Infants: A Systematic Review and Meta-Analysis
CONCLUSION: Low certainty of evidence suggests using HFNC for weaning CPAP in preterm infants may not impact the duration of respiratory support. Caution is advised when considering HFNC for weaning CPAP, especially in extremely preterm infants, until additional supportive evidence on its safety becomes available.PMID:38412846 | DOI:10.1159/000536464 (Source: Neonatology)
Source: Neonatology - February 27, 2024 Category: Perinatology & Neonatology Authors: Yasser Balhareth Abdul Razak Source Type: research

High Flow Nasal Cannula for Weaning Nasal Continuous Positive Airway Pressure in Preterm Infants: A Systematic Review and Meta-Analysis
CONCLUSION: Low certainty of evidence suggests using HFNC for weaning CPAP in preterm infants may not impact the duration of respiratory support. Caution is advised when considering HFNC for weaning CPAP, especially in extremely preterm infants, until additional supportive evidence on its safety becomes available.PMID:38412846 | DOI:10.1159/000536464 (Source: Neonatology)
Source: Neonatology - February 27, 2024 Category: Perinatology & Neonatology Authors: Yasser Balhareth Abdul Razak Source Type: research

High Flow Nasal Cannula for Weaning Nasal Continuous Positive Airway Pressure in Preterm Infants: A Systematic Review and Meta-Analysis
CONCLUSION: Low certainty of evidence suggests using HFNC for weaning CPAP in preterm infants may not impact the duration of respiratory support. Caution is advised when considering HFNC for weaning CPAP, especially in extremely preterm infants, until additional supportive evidence on its safety becomes available.PMID:38412846 | DOI:10.1159/000536464 (Source: Neonatology)
Source: Neonatology - February 27, 2024 Category: Perinatology & Neonatology Authors: Yasser Balhareth Abdul Razak Source Type: research

Technical Skills Curriculum in Neonatology: A Modified European Delphi Study
CONCLUSION: We reached a European consensus on a prioritized list of 39 technical skills to be included in a SBT curriculum in neonatology.PMID:38408441 | DOI:10.1159/000536286 (Source: Neonatology)
Source: Neonatology - February 26, 2024 Category: Perinatology & Neonatology Authors: Emma Therese Bay Niklas Breindahl Mathilde M Nielsen Charles C Roehr Tomasz Szczapa Luigi Gagliardi Maximo Vento Douwe H Visser Ragnhild Stoen Daniel Klotz Alexander Rakow Morten Breindahl Martin G Tolsgaard Lise Aunsholt Source Type: research

Technical Skills Curriculum in Neonatology: A Modified European Delphi Study
CONCLUSION: We reached a European consensus on a prioritized list of 39 technical skills to be included in a SBT curriculum in neonatology.PMID:38408441 | DOI:10.1159/000536286 (Source: Neonatology)
Source: Neonatology - February 26, 2024 Category: Perinatology & Neonatology Authors: Emma Therese Bay Niklas Breindahl Mathilde M Nielsen Charles C Roehr Tomasz Szczapa Luigi Gagliardi Maximo Vento Douwe H Visser Ragnhild Stoen Daniel Klotz Alexander Rakow Morten Breindahl Martin G Tolsgaard Lise Aunsholt Source Type: research