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001-es BibID:	BIBFORM111995
Első szerző:	Balázs Gergely (csecsemő- és gyermekgyógyász, neonatológus)
Cím:	Comparison of flexible nasogastric tube and semi-rigid catheter during less invasive surfactant administration / Gergely Balázs, Ivett Pecsi, Csilla Feher, Nora Katona, Tunde Kotorman, Balazs Kovacs-Paszthy, Mariann Marki, Istvan Pataki, Magdolna Riszter, Timea Rozsa, Gusztav Belteki, Tamas Kovacs, Gyorgy Balla, Andras Balajthy
Dátum:	2023
ISSN:	2724-5780
Megjegyzések:	BACKGROUND: Various flexible and semi-rigid catheter techniques have been reported for surfactant delivery during less invasive surfactant administration (LISA) in preterm infants. Data on the effect of catheter selection on procedural success rates and adverse events are limited. Our objective was to compare the rates of success and adverse events of LISA performed with nasogastric tube and semi-rigid catheter. METHODS: This was a post-hoc analysis of data from a quality improvement project. LISA was performed according to the standardized local protocol. Baseline characteristics, data on performance of LISA, degree of difficulty in laryngoscopy and vital parameters after the initiation of LISA were collected and outcomes were compared between groups. RESULTS: Fifty-six infants were included (21 with nasogastric tube, and 35 with semi-rigid catheter). Procedure success rate (defined as a single LISA attempt resulting in intratracheal administration of the planned dose of surfactant), incidence of adverse events, heart rate and oxygen saturation values and outcomes did not differ significantly between the two groups. When using a nasogastric tube for LISA, a significantly higher fraction of inspired oxygen was needed in the 3rd (0.62 vs. 0.48, P=0.024), 4th (0.61 vs. 0.37, P<0.001) and 5th minute (0.48 vs. 0.37, P=0.001) to maintain normal oxygen saturations. CONCLUSIONS: Use of the semi-rigid catheter was associated with better oxygenation during and shortly after the procedure. Our results may help neonatal units to develop local guidelines.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk
Megjelenés:	Minerva Pediatrics. - [Epub ahead of print] (2023). -
További szerzők:	Pécsi Ivett Fehér Csilla Katona Nóra Kotormán Tünde Kovács-Pászthy Balázs Márki Mariann (1987-) (csecsemő- és gyermekgyógyász) Pataki István (1975-) (csecsemő és gyermekgyógyász, neonatológus) Riszter Magdolna (1973-) (csecsemő és gyermekgyógyász, neonatológus) Rózsa Tímea (1985-) (csecsemő- és gyermekgyógyász) Bélteki Gusztáv (1970-) (csecsemő és gyermekgyógyász, neonatológus) Kovács Tamás Balla György (1953-) (csecsemő és gyermekgyógyász, neonatológus) Balajthy András (1988-) (általános orvos)
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