Publications by authors named "H Kuester"
Aim: The aim of this study was to assess the resuscitators' opinions of the usefulness and clinical value of using a respiratory function monitor (RFM) when resuscitating extremely preterm infants with positive pressure ventilation.
Methods: The link to an online survey was sent to 106 resuscitators from six countries who were involved in a multicentre trial that compared the percentage of inflations within a predefined target range with and without the RFM. The resuscitators were asked to assess the usefulness and clinical value of the RFM.
Article Synopsis
- The study aimed to evaluate if using a respiratory function monitor (RFM) during positive pressure ventilation (PPV) improves the percentage of inflations with the desired tidal volume in extremely preterm infants.
- Conducted as a clinical trial in neonatal intensive care units across 6 countries, infants were randomly assigned to either have the RFM visible or not while receiving PPV, with a focus on comparing the percentage of inflations within the target range of 4-8 mL/kg.
- Results showed no significant difference in the percentage of correct inflations between the two groups; however, the group with visible RFM had a lower incidence of serious brain conditions, indicating possible benefits despite the primary outcome not being met.
Sepsis remains a leading cause of morbidity and mortality in the neonatal population, and at present, there is no unified definition of neonatal sepsis. Existing consensus sepsis definitions within paediatrics are not suited for use in the NICU and do not address sepsis in the premature population. Many neonatal research and surveillance networks have criteria for the definition of sepsis within their publications though these vary greatly and there is typically a heavy emphasis on microbiological culture.
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