title: [Five years after the Spanish neonatal resuscitation survey. Are we improving?].
abstract: BACKGROUND
  An analysis is presented of delivery room (DR) neonatal resuscitation practices in Spanish hospitals.
  
  
  METHODS
  A questionnaire was sent by e-mail to all hospitals attending deliveries in Spain.
  
  
  RESULTS
  A total of 180 questionnaires were sent, of which 155 were fully completed (86%). Less than half (71, 46%) were level i or ii hospitals, while 84 were level iii hospital (54%). In almost three-quarters (74.2%) of the centres, parents and medical staff were involved in the decision on whether to start resuscitation or withdraw it. A qualified resuscitation team (at least two members) was available in 80% of the participant centres (63.9% level i-ii, and 94.0% level iii, P<.001). Neonatal resuscitation courses were held in 90.3% of the centres. The availability of gas blenders, pulse oximeters, manual ventilators, and plastic wraps was higher in level iii hospitals. Plastic wraps for pre-term hypothermia prevention were used in 63.9% of the centres (40.8% level i-iiand 83.3% level iii, P<.001). Term newborn resuscitation was started on room air in 89.7% of the centres. A manual ventilator (T-piece) was the device used in most cases when ventilation was required (42.3% level i-iiand 78.6% level iii, P<.001). Early CPAP in preterm infants was applied in 91.7% of the tertiary hospitals. In last 5 years some practices have improved, such neonatal resuscitation training, pulse oximeter use, or early CPAP support.
  
  
  CONCLUSIONS
  There is an improvement in some practices of neonatal resuscitation. Significant differences have been found as regards the equipment or practices in the DR, when comparing hospitals of different levels of care.
authors.affiliation: Servicio de Neonatología Sant Joan de Déu, BCNatal, Hospital Sant Joan de Déu-Hospital Clínic, Universidad de Barcelona, Barcelona, España. Electronic address: miriondo@hsjdbcn.org.
authors.forename: M
authors.initials: M
authors.lastname: Iriondo
authors.affiliation: Servicio de Neonatología Sant Joan de Déu, BCNatal, Hospital Sant Joan de Déu-Hospital Clínic, Universidad de Barcelona, Barcelona, España.
authors.forename: M
authors.initials: M
authors.lastname: Izquierdo
authors.affiliation: Servicio de Neonatología, Hospital Materno Infantil Carlos Haya, Málaga, España.
authors.forename: E
authors.initials: E
authors.lastname: Salguero
authors.affiliation: Servicio de Neonatología, Hospital Universitario Virgen del Rocío, Sevilla, España.
authors.forename: J
authors.initials: J
authors.lastname: Aguayo
authors.affiliation: Servicio de Neonatología, Hospital Universitario La Fe, Valencia, España.
authors.forename: M
authors.initials: M
authors.lastname: Vento
authors.affiliation: Newborn Research Centre & Neonatal Services, The Royal Women's Hospital Melbourne, Melbourne, Australia.
authors.forename: M
authors.initials: M
authors.lastname: Thió
mesh_terms: D003696:Delivery Rooms; D019538:Health Care Surveys; D006801:Humans; D007231:Infant, Newborn; D010818:Practice Patterns, Physicians'; D058996:Quality Improvement; D012151:Resuscitation / Q000379:methods / Q000592:standards*; D013030:Spain; D013997:Time Factors
keywords: Delivery room; Encuesta; Neonatal resuscitation; Newborn; Reanimación neonatal; Recién nacido; Sala de partos; Survey