Journal article

International survey on periextubation practices in extremely preterm infants

H Al-Mandari, W Shalish, E Dempsey, M Keszler, PG Davis, G St Anna

Archives of Disease in Childhood - Fetal and Neonatal Edition | BMJ PUBLISHING GROUP | Published : 2015

Abstract

OBJECTIVE: To determine periextubation practices in extremely preterm infants (<28 weeks gestation). DESIGN: A survey consisting of 13 questions related to weaning from mechanical ventilation, assessment of extubation readiness and postextubation respiratory support was developed and sent to clinical directors of level III NICUs in Australia, Canada, Ireland, New Zealand and USA. A descriptive analysis of the results was performed. RESULTS: 112/162 (69%) units responded; 36% reported having a guideline (31%) or written protocol (5%) for ventilator weaning. Extubation readiness was assessed based on ventilatory settings (98%), blood gases (92%) and the presence of clinical stability (86%). On..

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