Your browser doesn't support javascript.
loading
Initiation of resuscitation in the delivery room for extremely preterm infants: a profile of neonatal resuscitation instructors
Ambrósio, Cristiane Ribeiro; Sanudo, Adriana; Almeida, Maria Fernanda Branco de; Guinsburg, Ruth.
  • Ambrósio, Cristiane Ribeiro; Universidade Federal de Uberlândia. Departamento de Pediatria. Uberlândia. BR
  • Sanudo, Adriana; Universidade Federal de Uberlândia. Departamento de Pediatria. Uberlândia. BR
  • Almeida, Maria Fernanda Branco de; Universidade Federal de Uberlândia. Departamento de Pediatria. Uberlândia. BR
  • Guinsburg, Ruth; Universidade Federal de Uberlândia. Departamento de Pediatria. Uberlândia. BR
Clinics ; 71(4): 210-215, Apr. 2016. tab, graf
Artículo en Inglés | LILACS | ID: lil-781423
ABSTRACT

OBJECTIVE:

The goal of the present study was to examine the decisions of pediatricians who teach neonatal resuscitation in Brazil, particularly those who start resuscitation in the delivery room for newborns born at 23-26 gestational weeks.

METHODS:

The present study was a cross-sectional study that used electronic questionnaires (Dec/11-Sep/13) sent to instructors of the Neonatal Resuscitation Program of the Brazilian Society of Pediatrics. The primary outcome was the gestational age at which the respondent said that he/she would initiate positive pressure ventilation in the delivery room. Latent class analysis was used to identify the major profiles of these instructors, and logistic regression was used to identify variables associated with belonging to one of the derived classes.

RESULTS:

Of 685 instructors, 82% agreed to participate. Two latent classes were identified ‘pro-resuscitation’ (instructors with a high probability of performing ventilation on infants born at 23-26 weeks) and ‘pro-limitation’ (instructors with a high probability of starting ventilation only for infants born at 25-26 weeks). In the multivariate model, compared with the ‘pro-limitation’ class, ‘pro-resuscitationpediatricians were more likely to be board-certified neonatologists and less likely to base their decision on the probability of the infant’s death or on moral/religious considerations.

CONCLUSION:

The pediatricians in the most aggressive group were more likely to be specialists in neonatology and to use less subjective criteria to make delivery room decisions.
Asunto(s)


Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Respiración con Presión Positiva / Reanimación Cardiopulmonar / Masaje Cardíaco Tipo de estudio: Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Humanos / Recién Nacido País/Región como asunto: America del Sur / Brasil Idioma: Inglés Revista: Clinics Asunto de la revista: Medicina Año: 2016 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Universidade Federal de Uberlândia/BR

Similares

MEDLINE

...
LILACS

LIS


Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Respiración con Presión Positiva / Reanimación Cardiopulmonar / Masaje Cardíaco Tipo de estudio: Estudio observacional / Estudio pronóstico / Factores de riesgo Límite: Humanos / Recién Nacido País/Región como asunto: America del Sur / Brasil Idioma: Inglés Revista: Clinics Asunto de la revista: Medicina Año: 2016 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Universidade Federal de Uberlândia/BR