title: Survey of delivery room resuscitation practices at tertiary perinatal centers in Japan.
abstract: BACKGROUND
  The aim of this study was to determine the current neonatal resuscitation practices for term infants in Japan, immediately before the 2010 publication of the international neonatal resuscitation consensus.
  
  
  METHODS
  In January 2010, a 26-question survey was mailed to neonatal department directors.
  
  
  RESULTS
  A total of 287 neonatal departments were identified. Four surveys were returned as undeliverable. A total of 191 surveys were returned completed, but four departments had no labor and delivery rooms (66.6% response rate, 65.2% survey available response rate). Flow-inflating bags were most commonly used (63.2%), followed by self-inflating bags (35.8%), and T-piece resuscitators (1.0%). Among the participants, 42.1% used oxygen blenders, 56.2% used pure oxygen for initial resuscitation, and 79.5% used a pulse oximeter to change the fraction of inspired oxygen. Among the participants, 45.3% used carbon dioxide detectors to confirm intubation, 42.5% routinely used the detectors, and 55.2% used them when confirming a difficult intubation. In addition, 42.5% of the participants used continuous positive airway pressure to treat breathing problems, most commonly with flow-inflating bags (93.2%).
  
  
  CONCLUSIONS
  The equipment and techniques used in Japanese perinatal center delivery room resuscitation practices are highly varied. Further research is required to determine which devices and techniques are appropriate for this important and common intervention.
authors.affiliation: Department of Pediatrics and Child Health, Nihon University School of Medicine, Tokyo, Japan.
authors.forename: Shigeharu
authors.initials: S
authors.lastname: Hosono
authors.forename: Masanori
authors.initials: M
authors.lastname: Tamura
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Kunikata
authors.forename: Masaki
authors.initials: M
authors.lastname: Wada
authors.forename: Isao
authors.initials: I
authors.lastname: Kusakawa
authors.forename: Satoshi
authors.initials: S
authors.lastname: Ibara
mesh_terms: D003696:Delivery Rooms / Q000706:statistics & numerical data*; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D007564:Japan; D018743:Perinatal Care; D011247:Pregnancy; D011446:Prospective Studies; D012151:Resuscitation / Q000379:methods* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D062606:Tertiary Care Centers
keywords: carbon dioxide detector; flow-inflating bag; neonatal resuscitation; oxygen blender; pulse oximeter