138 Mask or Nasal Tube to Provide Positive Pressure Ventilation (PPV) to Preterm Infants in the Delivery Room (DR)-The Mont Trial

Abstract

For initial PPV a face mask is used, but obstruction and leak often occurs. A nasal tube is an alternative interface in the DR to provide PPV. Its safety and efficacy have not been tested in a large RCT in extremely preterm infants. To determine whether a single nasal tube is more effective than face mask during the stabilisation of infants born between 24 and 29 weeks. An RCT performed in Melbourne and Leiden. Infants were randomized immediately prior to birth to receive PPV using a T-piece with either a nasal tube or round mask. Resuscitation guidelines were standardised. Criteria for intubation: cardiac compressions, apnea, CPAP >7cmH2O and FiO2 >0.4. Primary outcome: intubation in the fi..