Table 4 Airways, ventilation, circulation and medications

How is a non-vigorous newborn infant born through meconium-stained amniotic fluid managed in your DR?

0.005

• Routine tracheal suction

20 (18.2)

10 (7.0)

• Starting PPV

84 (76.3)

118 (83.1)

• Oro-nasopharyngeal suction on the perineum

6 (5.45)

14 (9.9)

• Missing

0

6 (4.1)

• Air/oxygen blender

108 (98.2)

138 (97.9)

NS

• Pulse oxymeter

108 (98.2)

137 (97.2)

NS

Initial FiO₂ if PPV is needed in GA ≥ 35 wks

NS

• 0.21

98 (89.1)

127 (91.3)

• 0.25

0

1 (0.7)

• 0.28

0

1 (0.7)

• 0.3

10 (9.1)

6 (4.3)

• 0.35

0

1 (0.7)

• 0.4

1 (0.9)

2 (1.4)

• 1

1 (0.9)

1 (0.7)

• Missing

0

9 (6.1)

Initial FiO₂ if PPV is needed in GA < 35 wks

NS

• 0.21

35 (31.8)

47 (34.06)

• 0.25

8 (7.3)

4 (2.9)

• 0.3

62 (56.4)

80 (57.9)

• 0.4

2 (1.8)

2 (1.4)

• 0.5

0

2 (1.4)

• 0.6

0

1 (0.7)

• 1

1 (0.9)

2 (1.4)

• Missing

2 (1.8)

10 (6.7)

In your delivery room, PPV at birth is routinely administered with:

NS

• Flow-inflating bag

4 (3.64)

7 (4.9)

• Neonatal Mechanical ventilator

2 (1.82)

1 (0.7)

• Other

3

0

• Self-inflating bag

1 (0.91)

3 (2.1)

• T-piece device (Neopuff)

101 (91.8)

129 (91.5)

Which ventilatory interface is routinely used as the first choice in your center?

0.067

• Facial mask

92 (83.6)

131 (92.9)

• Nasopharyngeal prongs

3 (2.7)

1 (0.7)

• Short binasal prongs

13 (11.8)

8 (5.4)

• Missing

2 (1.8)

8 (5.4)

Is Laryngeal Mask part of the equipment in your DR?

NS

• Yes

99 (90.0)

130 (92.2)

• No

11 (10.0)

11 (7.8)

• Missing

7 (4.7)

What are the CPAP levels routinely administered in late preterm and term infants (i.e. GA ≥ 33 weeks) In your DR?

< 0.001

• ≤4

8 (7.3)

26 (17.6)

• 5

64 (58.2)

80 (54.1)

• 6

32 (29.1)

12 (8.1)

• 7

3 (2.7)

1 (0.7)

• Missing

3 (2.7)

29 (19.6)

What are the PEEP levels routinely administered to start PPV in late preterm and term infants (i.e. GA ≥ 33 weeks) In your DR?

< 0.001

• ≤4

12 (10.9)

30 (20.3)

• 5

67 (60.9)

93 (62.8)

• 6

30 (27.3)

8 (5.4)

• 8

0

2 (1.4)

• missing

1 (0.9)

15 (10.1)

What are the PIP levels routinely administered to start PPV in late preterm and term infants (i.e. GA ≥ 33 weeks) in your DR?

0.012

• < 20

17 (15.4)

11 (7.4)

• 20

45 (40.9)

69 (46.6)

• 25

33 (30.0)

35 (23.7)

• 30

1 (0.9)

5 (3.4)

• Other

10 (9.1)

8 (5.4)

• Missing

4 (3.6)

20(13.5)

Are heated, humidified gases available for PPV/respiratory support?

NS

• Yes

65 (59.1)

88 (59.5)

• No

45 (40.9)

60 (40.5)

In the case of endotracheal intubation, is an end-tidal CO₂ detector used to confirm the correct placement of the tracheal tube?

NS

• Yes

21 (19.1)

31 (20.9)

• No

89 (80.9)

117 (79.0)

How skilled is your team on intubation?

0.000

• Excellent

62 (56.4)

10 (7.1)

• Good

41 (37.3)

49 (34.7)

• I don’t know/NA

2 (1.82)

9 (6.1)

• Insufficient

0

22 (15.6)

• Sufficient

5 (4.55)

58 (41.1)

• Palpation of the umbilical cord

11 (10.0)

26 (17.6)

0.086

• Palpation of peripheral pulses

2 (1.8)

2 (1.3)

NS

• Stethoscope

84 (76.4)

102 (68.9)

NS

• Three lead ECG monitor

46 (41.8)

46 (31.1)

0.075

• Pulse oximeter

74 (62.3)

103 (69.6)

NS

Do you use Sodium bicarbonate in the DR?

0.003

• No

102 (92.7)

114 (82.1)

• Sometimes

5 (4.5)

25 (18.0)

• Missing

3 (2.7)

9 (6.1)