title: Neonatal resuscitation using a nasal cannula: a single-center experience.
abstract: OBJECTIVE
  The aim of the study was to describe our experience using a modified nasal cannula to deliver nasal continuous positive airway pressure and/or nasal intermittent positive pressure ventilation during primary neonatal resuscitation of preterm and term newborns.
  
  
  METHODS
  Data were collected retrospectively for all neonates resuscitated with nasal cannula in the delivery room. The primary outcome was the number of newborns intubated in the delivery room. Secondary outcomes included need for chest compressions, intubations in the first 24 hours, air-leaks, and surfactant administration.
  
  
  RESULTS
  A total of 102 infants were resuscitated using nasal cannula. Eight (7.8%) were intubated in the delivery room, five (4.9%) required chest compressions, and five (4.9%) had pneumothorax noted on chest X-ray. No deaths occurred in the delivery room. Twenty-eight patients (27.5%) received early rescue surfactant after admission to the neonatal intensive care unit.
  
  
  CONCLUSIONS
  Neonatal resuscitation can be effectively performed in preterm and term newborns using a modified nasal cannula in the delivery room.
authors.affiliation: Division of Neonatal Medicine, LAC + USC Medical Center, Children's Hospital Los Angeles, Keck School of Medicine of the University of Southern California, Los Angeles, California.
authors.forename: Pedro
authors.initials: P
authors.lastname: Paz
authors.affiliation: Division of Neonatal Medicine, LAC + USC Medical Center, Children's Hospital Los Angeles, Keck School of Medicine of the University of Southern California, Los Angeles, California.
authors.forename: Rangasamy
authors.initials: R
authors.lastname: Ramanathan
authors.affiliation: Neonatal Respiratory Therapy Department, LAC + USC Medical Center, Los Angeles, California.
authors.forename: Richard
authors.initials: R
authors.lastname: Hernandez
authors.affiliation: Division of Neonatal Medicine, LAC + USC Medical Center, Children's Hospital Los Angeles, Keck School of Medicine of the University of Southern California, Los Angeles, California.
authors.forename: Manoj
authors.initials: M
authors.lastname: Biniwale
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000295:instrumentation*; D045422:Continuous Positive Airway Pressure / Q000295:instrumentation*; D003696:Delivery Rooms; D005260:Female; D006336:Heart Massage; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D015931:Intensive Care, Neonatal; D007385:Intermittent Positive-Pressure Ventilation / Q000295:instrumentation*; D007442:Intubation, Intratracheal; D008297:Male; D009666:Nose; D010102:Oxygen Inhalation Therapy / Q000295:instrumentation*; D047928:Premature Birth / Q000628:therapy; D011663:Pulmonary Surfactants / Q000627:therapeutic use; D012189:Retrospective Studies; D047929:Term Birth
chemical_list: D011663:Pulmonary Surfactants