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Critical Care Research and Practice
Volume 2013 (2013), Article ID 715915, 8 pages
http://dx.doi.org/10.1155/2013/715915
Short- and Intermediate-Term Outcomes of Preterm Infants Receiving Positive Pressure Ventilation in the Delivery Room
1Department of Pediatrics, University of Alberta, Edmonton, AB, T6G 2R3, Canada
2Division of Neonatology, Department of Pediatrics, Medical University Graz, 8036 Graz, Austria
3Department of Newborn Medicine, Royal Alexandra Hospital, 10240 Kingsway Avenue NW, Edmonton, AB, T5H 3V9, Canada
Received 13 July 2012; Accepted 18 December 2012
Academic Editor: Manuel Sánchez Luna
Copyright © 2013 Megan O'Reilly et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Although recent advances in neonatal care have improved survival rates, rates of bronchopulmonary dysplasia remain unchanged. Although neonatologists are increasingly applying gentle ventilation strategies in the neonatal intensive care unit, the same emphasis has not been applied immediately after birth. A lung-protective strategy should start with the first breath to help in the establishment of functional residual capacity, facilitate gas exchange, and reduce volutrauma and atelectotrauma. This paper will discuss techniques and equipment during breathing assistance in the delivery room.