Increasing continuous positive airway pressure use rates in the delivery room for very preterm infants: a quality improvement initiative.

ABSTRACT:

Background

In spontaneously breathing preterm infants, less invasive strategies, such as continuous positive airway pressure (CPAP) and less invasive surfactant administration, have been increasingly implemented to reduce lung injury. In 2018, our center initiated a noninvasive neonatal resuscitation protocol incorporating these approaches as quality improvement (QI) initiatives. We aimed to evaluate the feasibility, safety, and effectiveness of this protocol by comparing respiratory outcomes before and after its implementation.

Methods

We retrospectively reviewed the medical records of 578 infants born at 25 + 0 to 29 + 6 weeks of gestation between 2014 and 2022 at Samsung Medical Center. Infants born in 2018 and those with severe congenital anomalies, delivery room deaths,

SUBMITTER: Kim H 

PROVIDER: S-EPMC12631424 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature