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Evaluating practioners’ preferences regarding vascular emergency access in newborn infants in the delivery room: a national survey
BACKGROUND: Venous access during neonatal emergencies in the delivery room (DR) can be accomplished through an umbilical venous catheter (UVC) or an intraosseous (IO) access. Preference of one over the other is unclear. We wanted to evaluate practioners’ views. METHODS: An anonymous online questionn...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7450589/ https://www.ncbi.nlm.nih.gov/pubmed/32854665 http://dx.doi.org/10.1186/s12887-020-02294-4 |
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author | Haase, Bianca Springer, Laila Poets, Christian Friedrich |
author_facet | Haase, Bianca Springer, Laila Poets, Christian Friedrich |
author_sort | Haase, Bianca |
collection | PubMed |
description | BACKGROUND: Venous access during neonatal emergencies in the delivery room (DR) can be accomplished through an umbilical venous catheter (UVC) or an intraosseous (IO) access. Preference of one over the other is unclear. We wanted to evaluate practioners’ views. METHODS: An anonymous online questionnaire was circulated to healthcare professionals with different background and experience, all working in neonatal intensive care units in Germany. The web-based survey consisted of 13 questions and data collection was performed using an online tool. RESULTS: We received 502 completed questionnaires, 152 (30%) were from neonatologists, the remainder from residents, fellows and neonatal nurses. For resuscitation of term newborns in the DR 61% of neonatologists vs. 53% of non-neonatologists were in favour of UVC instead of an IO as an emergency access. UVC placement was rated (very) difficult to impossible by 60% of neonatologists and 90% of non-neonatologists (p < 0.05). All respondents cited lack of experience as the main reason for feeling reluctant to place an UVC or IO access, the latter only being taken into consideration in term infants. CONCLUSIONS: UVC placement in the DR is rated more often difficult to use by non-neonatologists than by neonatologists, apparently related to lack of experience. IO access was only considered for resuscitating term infants due to lacking practice and missing approval for birth weights < 3000 g. Frequent training might improve these clinical skills. |
format | Online Article Text |
id | pubmed-7450589 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-74505892020-08-28 Evaluating practioners’ preferences regarding vascular emergency access in newborn infants in the delivery room: a national survey Haase, Bianca Springer, Laila Poets, Christian Friedrich BMC Pediatr Research Article BACKGROUND: Venous access during neonatal emergencies in the delivery room (DR) can be accomplished through an umbilical venous catheter (UVC) or an intraosseous (IO) access. Preference of one over the other is unclear. We wanted to evaluate practioners’ views. METHODS: An anonymous online questionnaire was circulated to healthcare professionals with different background and experience, all working in neonatal intensive care units in Germany. The web-based survey consisted of 13 questions and data collection was performed using an online tool. RESULTS: We received 502 completed questionnaires, 152 (30%) were from neonatologists, the remainder from residents, fellows and neonatal nurses. For resuscitation of term newborns in the DR 61% of neonatologists vs. 53% of non-neonatologists were in favour of UVC instead of an IO as an emergency access. UVC placement was rated (very) difficult to impossible by 60% of neonatologists and 90% of non-neonatologists (p < 0.05). All respondents cited lack of experience as the main reason for feeling reluctant to place an UVC or IO access, the latter only being taken into consideration in term infants. CONCLUSIONS: UVC placement in the DR is rated more often difficult to use by non-neonatologists than by neonatologists, apparently related to lack of experience. IO access was only considered for resuscitating term infants due to lacking practice and missing approval for birth weights < 3000 g. Frequent training might improve these clinical skills. BioMed Central 2020-08-27 /pmc/articles/PMC7450589/ /pubmed/32854665 http://dx.doi.org/10.1186/s12887-020-02294-4 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Haase, Bianca Springer, Laila Poets, Christian Friedrich Evaluating practioners’ preferences regarding vascular emergency access in newborn infants in the delivery room: a national survey |
title | Evaluating practioners’ preferences regarding vascular emergency access in newborn infants in the delivery room: a national survey |
title_full | Evaluating practioners’ preferences regarding vascular emergency access in newborn infants in the delivery room: a national survey |
title_fullStr | Evaluating practioners’ preferences regarding vascular emergency access in newborn infants in the delivery room: a national survey |
title_full_unstemmed | Evaluating practioners’ preferences regarding vascular emergency access in newborn infants in the delivery room: a national survey |
title_short | Evaluating practioners’ preferences regarding vascular emergency access in newborn infants in the delivery room: a national survey |
title_sort | evaluating practioners’ preferences regarding vascular emergency access in newborn infants in the delivery room: a national survey |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7450589/ https://www.ncbi.nlm.nih.gov/pubmed/32854665 http://dx.doi.org/10.1186/s12887-020-02294-4 |
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