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Description
| - Objective: To evaluate the heart rate (HR) and oxygen saturation (SpO(2)) at 15-second. intervals within 60 seconds after incremental increases of fractional inspired oxygen (FiO(2)) during resuscitation of infants younger than 29 weeks requiring two different forms of ventilatory support. Study design: Retrospective observational study. Methods: Forty-three infants were stabilized, 14 by continuous positive airway pressure exclusively (CPAP group), and 29 by positive pressure ventilation (PPV group). Both groups received ventilatory support in a special bed with two cameras enabling the evaluation of all interventions including HR, SpO(2), FiO(2), positive inflation pressure, and positive end-expiratory pressure values. FiO(2) was commenced at 0.30 and titrated in 0.1-0.2 increments every 30-60 seconds. The relationships between the incremental increases of FiO(2) and related SpO(2) and HR changes were evaluated. Results: Although there was an inverse correlation between initial FiO(2) and SpO(2) in both groups, a significant positive correlation between the incremental increase of FiO(2) and SpO(2) changes after 30 seconds was found only in the CPAP group. Only higher initial levels of FiO(2) had a positive effect on the improvement in SpO(2) in the PPV group. Conclusion: The efficacy of FiO(2) titration in 0.1-0.2 increments may be attenuated and delayed in extremely preterm infants required PPV during the first 6 minutes of life.
- Objective: To evaluate the heart rate (HR) and oxygen saturation (SpO(2)) at 15-second. intervals within 60 seconds after incremental increases of fractional inspired oxygen (FiO(2)) during resuscitation of infants younger than 29 weeks requiring two different forms of ventilatory support. Study design: Retrospective observational study. Methods: Forty-three infants were stabilized, 14 by continuous positive airway pressure exclusively (CPAP group), and 29 by positive pressure ventilation (PPV group). Both groups received ventilatory support in a special bed with two cameras enabling the evaluation of all interventions including HR, SpO(2), FiO(2), positive inflation pressure, and positive end-expiratory pressure values. FiO(2) was commenced at 0.30 and titrated in 0.1-0.2 increments every 30-60 seconds. The relationships between the incremental increases of FiO(2) and related SpO(2) and HR changes were evaluated. Results: Although there was an inverse correlation between initial FiO(2) and SpO(2) in both groups, a significant positive correlation between the incremental increase of FiO(2) and SpO(2) changes after 30 seconds was found only in the CPAP group. Only higher initial levels of FiO(2) had a positive effect on the improvement in SpO(2) in the PPV group. Conclusion: The efficacy of FiO(2) titration in 0.1-0.2 increments may be attenuated and delayed in extremely preterm infants required PPV during the first 6 minutes of life. (en)
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Title
| - Efficacy of FiO(2) Increase During the Initial Resuscitation of Premature Infants < 29 Weeks: An Observational Study
- Efficacy of FiO(2) Increase During the Initial Resuscitation of Premature Infants < 29 Weeks: An Observational Study (en)
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skos:prefLabel
| - Efficacy of FiO(2) Increase During the Initial Resuscitation of Premature Infants < 29 Weeks: An Observational Study
- Efficacy of FiO(2) Increase During the Initial Resuscitation of Premature Infants < 29 Weeks: An Observational Study (en)
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skos:notation
| - RIV/00064165:_____/13:10192832!RIV14-MZ0-00064165
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http://linked.open...avai/predkladatel
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http://linked.open...avai/riv/aktivita
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http://linked.open...avai/riv/aktivity
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http://linked.open...iv/cisloPeriodika
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http://linked.open...vai/riv/dodaniDat
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http://linked.open...aciTvurceVysledku
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http://linked.open.../riv/druhVysledku
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http://linked.open...iv/duvernostUdaju
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http://linked.open...titaPredkladatele
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http://linked.open...dnocenehoVysledku
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http://linked.open...ai/riv/idVysledku
| - RIV/00064165:_____/13:10192832
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http://linked.open...riv/jazykVysledku
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http://linked.open.../riv/klicovaSlova
| - ventilatory support; FiO(2) titration; extremely premature infants; delivery room (en)
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http://linked.open.../riv/klicoveSlovo
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http://linked.open...odStatuVydavatele
| - TW - Čínská republika (Tchaj-wan)
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http://linked.open...ontrolniKodProRIV
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http://linked.open...i/riv/nazevZdroje
| - Pediatrics and Neonatology
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http://linked.open...in/vavai/riv/obor
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http://linked.open...ichTvurcuVysledku
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http://linked.open...cetTvurcuVysledku
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http://linked.open...UplatneniVysledku
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http://linked.open...v/svazekPeriodika
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http://linked.open...iv/tvurceVysledku
| - Plavka, Richard
- Lamberská, Tereza
- Vankova, Jana
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http://linked.open...ain/vavai/riv/wos
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issn
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number of pages
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http://bibframe.org/vocab/doi
| - 10.1016/j.pedneo.2013.06.006
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