Evaluation of T-piece resuscitator in the delivery room management of pre-term neonates with respiratory distress syndrome in resource-limited settings: A pre-post intervention study. (April 2022)

• Record Type: Journal Article
• Authors: Khare, Chetan; Adhisivam, Bethou; Gupta, Avantika; Vaishnav, Dheeraj; Vishnu Bhat, Ballambattu
• Is Part Of: Tropical doctor. Volume 52:Number 2(2022)
• Page Start: 262
• Page End: 269
• Publication Date: 2022-04
• Subjects: t-piece resuscitation -- surfactant -- respiratory distress syndrome; Tropical medicine -- Periodicals; Medical care -- Developing countries -- Periodicals; Developing Countries -- Periodicals; Tropical Medicine -- Periodicals; Tropische geneeskunde; 616.9883
• DOI: 10.1177/00494755221076942
• Languages: English
• ISSNs: 0049-4755

Abstract

The aim of our study was to evaluate the impact of the T-piece resuscitator in the delivery room management of pre-term neonates in a resource-limited setting. We compared the incidence rates of delivery room intubation, surfactant replacement therapy, pulmonary air leak syndrome, and pre-term very low birth weight infant mortality, before and after T-piece use. Bi-monthly neonatal resuscitation training sessions were conducted for healthcare providers during the study period. We emphasized hands-on experience with the T-piece resuscitator and delivery room early respiratory care practices during the post-intervention epoch. Our pre- and post-intervention data recorded statistically significant decline in delivery room intubations, a 32% decrease in surfactant replacement therapy, and a 57% decrease in air leaks in pre-term neonates. However, the use of T-piece resuscitator did not have a statistically significant effect on pre-term very low birth weight infant mortality.