Recent discussions
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ILCOR Staff
Completely agree, in most cases term newborn need just pressure, not oxygen! -
ILCOR Staff
I am agree with the commentaries abovebegin with lower FiO2 and adjust per the patients need. -
ILCOR Staff
The extensive studies and findings are commendable. Looking for answers via evidenced-based practice continues to be the driving force behind finding the answers posted for FIO2 needs for preterm infants, sick infants, etc. and the numerous possible sequelae that can affect them. In our institution, we start off with lowest O2 concentration and increase it based on pre-ductal SpO2 target. -
ILCOR Staff
I agree with the recomandation starting with lower concentration FiO2 and modulating FiO2 if you need to. -
ILCOR Staff
I agree -
ILCOR Staff
I agree -
ILCOR Staff
I agree starting at a lower concentration (30%) and adjusting upward as needed per pulse oxymetry or HR monitors. Many times all we need to do is support them with pression, CPAP, more than higher FiO2; other times we must increase FiO2 to adjust the patients needs -
ILCOR Staff
The difference in mortality is compelling. Starting with 21% FiO2 in mildly depressed term neonates with in-utero primary apnea is reasonable. In moderate to severely compromised term infants who suffered from secondary apnea in-utero, starting with slightly higher FiO2, like 30%-40% may be prudent and needed in order to reverse the process of severe hypoxia and persistent R-L shunting. It may be increased thereafter as per the improvement, assessed q 15-30 seconds. A good FRC established with the use of adequate positive pressure breaths may decrease the need of high FiO2. Judgement must be used about escalating FiO2 to 100%, as severely depressed moribund term babies in imminent threat of death may be difficult to reverse and need it. Such cases are also most susceptible to medicolegal liability. Use of 100% oxygen should not be completely ruled out. Establishing optimum perfusion is critical to assure expected response from PPV/FiO2 supplementation. -
ILCOR Staff
The use of supplemental oxygen in the assistance to term and preterm newborn at birth with FiO2 of 21% is feasible, reduces costs and improves some neonatal outcomes. -
ILCOR Staff
I always start with intermediate concentrations such as 30% oxygen. And I rarely need to use oxygen concentrations above 40%. And I can often reduce it by as much as 21%.