An international survey of volume-targeted neonatal ventilation

Claus Klingenberg, Kevin Wheeler, Louise S Owen, Per I Kaaresen, Peter G Davis

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19 Citations (Scopus)

Abstract

To evaluate clinical practice of volume-targeted ventilation (VTV). DESIGN: Internet-based survey of all 50 tertiary neonatal units in Australia, New Zealand, Sweden, Denmark, Finland and Norway. RESULTS: Response rate was 100 . VTV was routinely used in 25 (50 ) units; 15/25 (60 ) in Australasia and 10/25 (40 ) in the Nordic countries. The most common reason given for using VTV was that it reduces bronchopulmonary dysplasia (13/25; 52 ). The median (IQR) of upper limits of target tidal volume were (1) for initial ventilation of preterm infants with respiratory distress syndrome 5.0 (4.6-6.0) ml/kg and (2) for infants with ventilator-dependent bronchopulmonary dysplasia 6.0 (5.0-8.0) ml/kg. The median (IQR) maximum peak inspiratory pressure limit units were prepared to use in VTV-mode was 35 (30-42.5) cm H(2)O. CONCLUSION: Half of the units used VTV routinely, but with a considerable variation in VTV practice. More studies are required to establish best VTV practice.
Original languageEnglish
Pages (from-to)F146 - F148
Number of pages3
JournalArchives of Disease in Childhood: Fetal and Neonatal Edition
Volume96
Issue number2
DOIs
Publication statusPublished - 2011

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