Update on ventilatory management of extremely preterm infants—A Neonatal Intensive Care Unit perspective

Abstract

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Effect of Optimizing Oxygen Saturation Targets on the Incidence of Retinopathy of Prematurity in a Quaternary NICU

“…Physiologically the sigmoid-shaped oxyhemoglobin dissociation curve is almost vertical at 90% SpO 2 . Therefore, even a slight change in inspired oxygen pressure at this point results in a significant shift in SpO 2 presenting clinically in variable SpO 2 values [ 24 ]. From a nursing perspective, a low nurse-to-patient ratio is associated with improved time spent in the target SpO 2 range [ 25 ]; however, a 1:1 staffing ratio changes with increasing postnatal age as the infant becomes more stable and requires less time invasive respiratory support.…”

The secret to longevity is to keep breathing (Sophie Tucker)

“…We have to adapt our ventilation techniques depending on our setting, the PICU, NICU, emergencies in the preclinical setting, theater, or in disadvantaged areas of our planet. [3][4][5] This issue is packed to the brim with exciting and novel information from authors worldwide to guide clinicians in their everyday clinical practice and help them to make better and more evidencebased choices when looking after our young patients. Breathe in, breathe out; it looks easy but can cause a lot of damage and harm!…”

“…We have to be aware of the changes in the lungs through development and pathology. We have to adapt our ventilation techniques depending on our setting, the PICU, NICU, emergencies in the preclinical setting, theater, or in disadvantaged areas of our planet 3–5 …”

Tecnologías y estrategias de ventilación mecánica en anestesia para pacientes pediátricos

“…Una encuesta practicada a anestesiólogos en UK el 2019 muestra una variabilidad en la administración de O 2 tanto en la inducción, mantención y durante la extubación [24]; mostrando la utilización de una estrategia de oxigenación con FIO 2 más alta para neonatos, con el objetivo de prevenir la hipoxia en esta población [24], la cual está asociada a anormalidades del neurodesarrollo, muerte y NEC [25], [26]. La modificación de la FIO 2 se realizó utilizando mezclas O 2 con aire u N 2 O [24].…”